A client with bipolar disorder tells the nurse about the need to make some deals to improve a retirement savings. Based on this information, which client outcome should the nurse include in the care?

Delay business decisions until mania subsides.

Identify the feelings associated with the behavior.

Seek legal counsel when making business decisions.

Describe feelings of fear about finances.

Answer and Explanation

The Correct Answer is A

Choice A reason: In bipolar disorder, manic episodes impair judgment, leading to impulsive financial decisions. Delaying business deals until mania subsides ensures sound decision-making, protecting the client’s financial stability. This outcome aligns with psychiatric care goals for mania, making it the most appropriate care plan inclusion.

Choice B reason: Identifying feelings behind behavior is therapeutic but does not address the immediate risk of poor financial decisions during mania. Delaying decisions prevents harm, making this less critical and incorrect compared to prioritizing judgment stabilization in the client’s manic state.

Choice C reason: Seeking legal counsel is practical but secondary to delaying decisions until mania resolves, as manic impulsivity drives risky behavior. Ensuring decisions are made in a stable state is the priority, making this incorrect for the primary outcome in managing bipolar financial impulsivity.

Choice D reason: Describing financial fears may explore emotions but does not mitigate the risk of impulsive deals during mania. Delaying decisions addresses the immediate danger of poor judgment, making this less relevant and incorrect for the primary outcome in the client’s care plan.

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Correct Answer is D

Explanation

Choice A reason: Documenting the threat is important but less urgent than notifying the provider, who can initiate immediate safety measures for a client with bipolar disorder expressing harm intent. Notification ensures timely intervention, making documentation secondary and incorrect for the most important action.

Choice B reason: Informing the sister may breach confidentiality and is not the nurse’s role without legal or provider guidance. Notifying the provider ensures proper evaluation and safety planning, making this incorrect, as direct family notification is not the primary action in this scenario.

Choice C reason: Reporting to the healthcare team is less specific than notifying the provider directly, who can assess and manage the threat promptly. In bipolar disorder, rapid intervention is critical, making this less precise and incorrect compared to direct provider notification for immediate action.

Choice D reason: Notifying the healthcare provider is the most important action, as a threat to harm in bipolar disorder requires urgent evaluation for safety and potential mania-driven impulsivity. This ensures timely intervention, aligning with psychiatric safety protocols, making it the correct and most critical action.

A. Disorganization. B. Preoccupation. C. Somatization. D. Reexperience.

Correct Answer is C

Explanation

Choice A reason: Disorganization refers to cognitive or behavioral chaos, not physical symptoms like numbness. Somatization involves physical complaints from psychological distress, fitting the client’s grief-related symptoms. Disorganization does not explain the neurological complaints, making this incorrect for the likely condition causing the symptoms.

Choice B reason: Preoccupation involves excessive focus on thoughts, not physical symptoms. Somatization better explains numbness and tingling as physical manifestations of grief-related stress. Preoccupation lacks a somatic component, making this incorrect for the condition underlying the client’s reported physical symptoms post-loss.

Choice C reason: Somatization involves physical symptoms, like numbness and tingling, arising from psychological distress, such as grief from a spouse’s death. This aligns with psychosomatic responses to loss, supported by psychiatric evidence, making it the most likely condition for the client’s symptoms in this context.

Choice D reason: Reexperience relates to PTSD flashbacks, not physical symptoms like numbness. Somatization accounts for physical complaints from emotional stress, fitting the client’s grief. Reexperience is specific to trauma recall, making this incorrect for explaining the client’s somatic symptoms following a recent loss.

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A client with bipolar disorder tells the nurse about the need to make some deals to improve a retirement savings. Based on this information, which client outcome should the nurse include in the care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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