A client who has bipolar disorder is experiencing mania. Which of the following interventions should the nurse implement?
Encourage group therapy participation
Provide high-calorie finger foods
Allow the client to lead a unit meeting
Discourage any physical activity to prevent exhaustion
The Correct Answer is B
A. Encourage group therapy participation: While group therapy can be beneficial, during a manic episode, clients may struggle to engage effectively due to their heightened energy levels and impulsivity. Individual interventions are typically more appropriate at this stage.
B. Provide high-calorie finger foods: During a manic episode, clients often have increased energy expenditure and may neglect their nutritional needs. Providing high-calorie finger foods ensures that the client receives adequate nutrition without requiring them to sit down for a formal meal, accommodating their high activity level and potential lack of focus.
C. Allow the client to lead a unit meeting: Allowing a client in a manic state to lead a meeting could exacerbate their manic behavior, leading to disruptions and further challenges in managing their condition. It is essential to maintain structure and limit opportunities for impulsive actions during this time.
D. Discourage any physical activity to prevent exhaustion: While it's important to monitor for signs of exhaustion, completely discouraging physical activity is not appropriate. Encouraging some level of physical activity can help channel the client's energy positively, but it should be carefully monitored to prevent overstimulation or fatigue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. To empower the client to be engaged in personal care: Understanding a client's cultural and spiritual beliefs is essential for developing a personalized care plan that respects their values and preferences. This empowerment can enhance the client's involvement in their own care, promoting a sense of autonomy and ownership over their treatment.
B. To decrease the client's stress: While recognizing cultural and spiritual beliefs may help reduce stress by providing a sense of support, the primary purpose of collecting this information is to enhance engagement in care rather than solely focusing on stress reduction.
C. To increase the client's motivation to learn about their culture: While discussing cultural beliefs may encourage reflection on identity, the primary aim is not necessarily to motivate the client to learn about their culture, but rather to ensure that care is culturally competent and supportive.
D. To detect changes in the client's condition: While understanding cultural and spiritual beliefs can provide context for a client’s behavior and emotional state, the primary purpose of collecting this information is to support and empower the client in their personal care rather than to solely monitor changes in their condition.
Correct Answer is A
Explanation
A. Interpersonal therapy: This type of therapy focuses on improving interpersonal relationships and social functioning, which is beneficial for clients with avoidant personality disorder. It helps individuals address their fears of rejection and develop healthier social interactions, making it a suitable therapeutic approach for this client.
B. Antidepressant medications: While antidepressants may be prescribed to help alleviate symptoms of anxiety or depression often associated with avoidant personality disorder, they do not specifically target the underlying interpersonal issues. Medication alone is not considered a primary treatment for this personality disorder.
C. Dialectical behavior therapy: Dialectical behavior therapy (DBT) is primarily designed for individuals with borderline personality disorder and focuses on emotion regulation and interpersonal effectiveness. While it may benefit some clients, it is not the first-line therapy for avoidant personality disorder.
D. Antipsychotic medications: Antipsychotic medications are generally not indicated for avoidant personality disorder, as the disorder does not typically involve psychotic symptoms. These medications are more appropriate for conditions like schizophrenia or severe mood disorders and do not address the core features of avoidant personality disorder.
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