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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. People diagnosed with schizophrenia are more violent than others: Individuals with schizophrenia are not inherently more violent than the general population. The majority are not violent and are often more likely to be victims rather than perpetrators of violence.
B. Biologically female clients are likely to be diagnosed earlier than biologically born males: Research indicates that biologically male clients often present with symptoms earlier than females.
C. Biologically male clients are typically diagnosed earlier than biologically female clients: Research shows that males tend to exhibit the onset of schizophrenia earlier, usually in late adolescence to early adulthood, whereas females may experience a later onset, often in their 20s or 30s.
D. Diagnosis commonly occurs in individuals under the age of 12: Schizophrenia is rare in children under 12 years of age, and diagnosis typically occurs in late adolescence or early adulthood. Early-onset schizophrenia is uncommon, and most cases are diagnosed after the age of 12.
Correct Answer is D
Explanation
A. Remove the client from the room: While ensuring the client's safety is important, removing them from the room may not be necessary and could escalate the situation further. The nurse should first assess the immediate environment and the client's feelings before making such a decision.
B. Touch the client's arm reassuringly: Physical contact can sometimes be perceived as threatening by clients experiencing acute symptoms. It is essential to respect the client's personal space, especially when they are in a distressed state.
C. Ask the client to describe what is being seen: Encouraging the client to describe what they are experiencing may increase their agitation or anxiety. It might be more effective to provide reassurance without delving into the specifics of their hallucination at this moment.
D. Tell the client that there is nothing there: Providing reassurance by acknowledging the client's distress while gently affirming that there is nothing present can help to ground the client. This response validates their feelings without reinforcing the hallucination, promoting a sense of safety and calmness.
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