A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Writes a detailed daily activity schedule

Isolates self from others

Reports a lack of sleep

Refuses to engage in conversation

Answer and Explanation

The Correct Answer is C

A.   Writing a detailed daily activity schedule may indicate organization and planning, which are not typically associated with acute mania.
B.   Isolating oneself from others could be a sign of depression rather than acute mania.
C.   Reporting a lack of sleep is characteristic of acute mania, as individuals in manic episodes often experience decreased need for sleep.
D.   Refusing to engage in conversation could be indicative of various factors, but it is not specific to acute mania.

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Correct Answer is D

Explanation

A. Compensation involves overachieving in one area to make up for deficiencies in another area, which is not evident in the client's statement.
B. Sublimation involves channeling unacceptable impulses into socially acceptable activities, which is not demonstrated in the client's statement.
C. Regression involves reverting to an earlier stage of development in the face of stress, which is not evident in the client's statement.
D. Suppression involves consciously avoiding or postponing dealing with a stressor, which aligns with the client's statement of delaying thinking about their diagnosis until after a significant event.

A. Inform the client about confidentiality rights. B. Establish boundaries between the nurse and the client. C. Set short- and long-term objectives for the future. D. Evaluate progress toward predetermined goals.

Correct Answer is D

Explanation

A. Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase.
B. Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase.
C. Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase.
D. During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.

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A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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Explanation

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