A nurse is assessing a patient with bipolar disorder.
Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:.

Monitoring signs of psychomotor agitation.

Assessing the patient's memory and attention.

Documenting the patient's medication history.

Measuring vital signs and laboratory tests.

Observing signs of impaired judgment.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale:

Monitoring signs of psychomotor agitation is an important aspect of assessing a patient with bipolar disorder. Psychomotor agitation is a common feature of bipolar disorder, and recognizing its signs can help in managing the patient's condition effectively.

Choice B rationale:

Assessing the patient's memory and attention is crucial in the assessment of bipolar disorder. It helps in evaluating cognitive function, which can be affected during manic or depressive episodes in bipolar disorder.

Choice C rationale:

Documenting the patient's medication history is essential when assessing a patient with bipolar disorder. Knowing the medications the patient is currently taking, as well as their medication history, is vital for understanding their treatment plan and ensuring the safe and effective management of the condition.

Choice D rationale:

Measuring vital signs and laboratory tests is an integral part of the physical assessment for a patient with bipolar disorder. Bipolar disorder can have physical health implications, and monitoring vital signs and conducting laboratory tests can help identify any underlying medical issues or side effects of medication.

Choice E rationale:

Observing signs of impaired judgment is another important aspect of assessing a patient with bipolar disorder. Impaired judgment can be a characteristic feature during manic episodes, and recognizing it is crucial for the safety and well-being of the patient.

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Correct Answer is B

Explanation

Choice A rationale:

Expressing frustration regarding unit rules is a possible behavior, but it doesn't directly relate to transference. It may reflect the client's general frustration or non-compliance with the rules, but it doesn't necessarily involve the transfer of feelings from a past relationship.

Choice C rationale:

Refusing to participate in group activities can be a behavior related to a personality disorder, but it's not specifically indicative of transference. It may be more related to the client's avoidance or social difficulties.

Choice D rationale:

Talking negatively about other staff members is another behavior that may occur in individuals with personality disorders, but it doesn't directly demonstrate transference. It could be a manifestation of their interpersonal difficulties or conflicts with staff.

A. Offer prophylactic medication to prevent STIs. B. Provide a trained advocate to stay with the client. C. Conduct a pregnancy test. D. Request a mental health consultation for the client.

Correct Answer is B

Explanation

Choice A rationale:

Offering prophylactic medication to prevent STIs is an important intervention in cases of sexual assault; however, it is not the next immediate step. The priority at this stage is to ensure the client's safety and emotional support.

Choice B rationale:

Providing a trained advocate to stay with the client is the most appropriate and immediate action. This helps ensure the client's emotional well-being and provides support during a traumatic experience. Advocates can also help the client navigate the healthcare system and legal processes.

Choice C rationale:

Conducting a pregnancy test is important, but it is not the next immediate step. Safety and emotional support should be the priority.

Choice D rationale:

Requesting a mental health consultation for the client is important, but it should not be the next immediate action. Safety and support should come first.

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A nurse is assessing a patient with bipolar disorder.Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:.

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A nurse is assessing a patient with bipolar disorder.
Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:.