A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?
Cognitive abilities, memory, and attention.
The patient's mood state and affect.
The patient's physical height and weight.
Activity level, speech pattern, and self-care.
The Correct Answer is D
Choice A rationale:
Cognitive abilities, memory, and attention are important cognitive functions to assess in patients with bipolar disorder. However, when addressing aggressive behavior and impulsivity, the focus should be on observing and documenting behavioral aspects rather than cognitive functions. These cognitive functions might be affected, but they are not the primary aspects of interest in this context.
Choice B rationale:
The patient's mood state and affect are indeed important considerations, especially in the context of bipolar disorder. However, the question specifically asks about aggressive behavior and impulsivity. While mood and affect might influence behavior, they are not the same as behavior. Choice D directly addresses the aspects of behavior relevant to the situation.
Choice C rationale:
Physical height and weight are not directly relevant to the assessment of aggressive behavior and impulsivity in a client with bipolar disorder. These measurements are more related to physical health rather than the behavioral or psychosocial aspects of the patient's presentation.
Choice D rationale:
This is the correct choice. Aggressive behavior and impulsivity are behavioral manifestations that can provide important insights into the patient's mental state and psychosocial functioning. Observing and documenting activity level, speech pattern, and self-care behaviors can help understand the extent and nature of these behaviors, which are relevant to the client's bipolar disorder diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While mood stabilizers are often used in combination with antidepressants for individuals with bipolar disorder, it's not an absolute requirement that antidepressants always be used alongside mood stabilizers. The choice to combine these medications depends on the individual's specific presentation and needs.
Choice B rationale:
Antidepressants can induce or worsen manic or hypomanic symptoms in individuals with bipolar disorder. This phenomenon is known as "switching" and can lead to a rapid shift from a depressive state to a manic or hypomanic state. Therefore, careful consideration is needed when prescribing antidepressants to individuals with bipolar disorder to avoid triggering manic episodes.
Choice C rationale:
Antidepressants are not the primary treatment for acute manic episodes in bipolar disorder. Antipsychotic medications and mood stabilizers are more commonly used to address the manic symptoms and stabilize the individual's mood during such episodes.
Choice D rationale:
Antidepressants, like all medications, have the potential for causing side effects. They can lead to a range of adverse effects, including gastrointestinal symptoms, changes in sleep patterns, and sexual dysfunction, among others. Monitoring for and managing these potential side effects is important in providing comprehensive care to individuals taking antidepressants.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
Dialectical behavior therapy (DBT) is not commonly used as a psychotherapeutic intervention for managing bipolar disorder. DBT is often used to treat borderline personality disorder and focuses on emotional regulation and interpersonal skills.
Choice B rationale:
Cognitive-behavioral therapy (CBT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It helps individuals identify and change negative thought patterns and behaviors, which can be valuable in managing both depressive and manic symptoms.
Choice C rationale:
Family-focused therapy (FFT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It involves the family in the treatment process and aims to improve communication, problem-solving, and support within the family unit.
Choice D rationale:
Interpersonal and social rhythm therapy (IPSRT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It focuses on stabilizing daily routines and sleep patterns, which can help prevent mood episodes and maintain stability.
Choice E rationale:
Exposure therapy is not commonly used for managing bipolar disorder. Exposure therapy is typically used to treat anxiety disorders, particularly phobias and post-traumatic stress disorder (PTSD), and involves gradually exposing individuals to their feared situations or memories to reduce anxiety.
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