A nurse is assessing a client who has bipolar disorder. Which of the following assessment questions is most appropriate?

How would you describe your relationship with your family?

Are you currently having any suicidal thoughts?

If you found an unopened letter on the sidewalk, what would you do?

What is your favorite color?

Answer and Explanation

The Correct Answer is B

Choice A reason: While understanding family dynamics is important for long-term management, it does not address immediate safety concerns. It is more relevant during psychosocial assessments or discharge planning.

Choice B reason: Assessing for suicidal ideation is a priority in clients with bipolar disorder due to the high risk of self-harm during depressive or mixed episodes. This question directly addresses safety and guides urgent intervention if needed.

Choice C reason: This question may assess judgment or abstract thinking but is not a priority in acute assessment. It is more appropriate in cognitive or neuropsychological evaluations.

Choice D reason: Asking about favorite color is irrelevant to psychiatric assessment and does not provide useful clinical information.

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Correct Answer is D

Explanation

Choice A reason: Progressive muscle relaxation may help reduce anxiety, but it requires a level of cognitive and emotional awareness that may be challenging for children with autism who struggle with emotional expression.
Choice B reason: Guided imagery is a cognitive strategy that may be difficult for children with autism due to challenges with abstract thinking and imagination.
Choice C reason: Extended play sessions with peers may be overwhelming or counterproductive for children with autism, especially if they have difficulty with social reciprocity or sensory processing.
Choice D reason: Art therapy is a developmentally appropriate and evidence-based intervention that allows children with autism to express emotions nonverbally, supporting emotional regulation and communication.

A. The right to be free from unnecessary treatment. B. The right to informed consent. C. The right to decline medication. D. The right to have an attorney review their plan of care.

Correct Answer is C

Explanation

Choice A reason: While clients have the right to avoid unnecessary treatment, this option is vague and does not directly address medication refusal.

Choice B reason: Informed consent involves understanding risks and benefits, but the act of refusal is better captured by the right to decline treatment.

Choice C reason: Clients have the legal and ethical right to refuse medication unless they are deemed incompetent or under involuntary treatment. This is the most accurate and specific answer.

Choice D reason: Legal review of care plans is not a standard right in routine care and is not relevant to medication refusal.

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A nurse is assessing a client who has bipolar disorder. Which of the following assessment questions is most appropriate?

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Correct Answer is D

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Correct Answer is C

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