A nurse is assisting in the care of a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take to promote a therapeutic environment?

Encourage the client to spend time with others in the dayroom.

Allow the client to choose activities for the day

Be specific when explaining care to the client.

Redirect client behavior by initiating physical exercise.

Answer and Explanation

The Correct Answer is C

Choice A: Encourage the client to spend time with others in the dayroom.
Encouraging a client experiencing mania to spend time with others in the dayroom might not be the best approach. Clients with mania often have heightened energy levels and may exhibit impulsive or disruptive behavior. This can lead to conflicts or overstimulation, which can exacerbate their condition. Instead, a more controlled and calm environment is usually recommended to help manage their symptoms effectively.

Choice B: Allow the client to choose activities for the day.
While allowing clients to have some autonomy can be beneficial, clients experiencing mania may have difficulty making appropriate decisions due to their heightened state. They might choose activities that are overly stimulating or unsafe. Structured and guided activities are generally more appropriate to ensure the client's safety and well-being during manic episodes.

Choice C: Be specific when explaining care to the client.
Being specific when explaining care to a client with mania is crucial. Clear and concise instructions help reduce confusion and anxiety, providing a sense of structure and predictability. This approach can help the client understand what to expect, which can be calming and help manage their symptoms more effectively. Specific instructions also ensure that the client follows the care plan accurately, which is essential for their treatment and safety.

Choice D: Redirect client behavior by initiating physical exercise.
Redirecting client behavior by initiating physical exercise can be beneficial, as it helps channel the client's excess energy in a positive way. However, it should be done in a controlled manner to prevent overstimulation or exhaustion. Physical exercise can be a part of the therapeutic plan, but it should be balanced with other interventions to ensure the client's overall well-being.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A Reason: Access to guns in the home

Access to firearms is a significant risk factor for suicide. Studies have shown that the presence of a gun in the home increases the risk of suicide, as it provides a readily available means to carry out the act. Firearms are highly lethal, and their availability can lead to impulsive decisions resulting in fatal outcomes. Therefore, healthcare providers should assess the presence of firearms in the home and discuss safe storage practices or removal of firearms to reduce the risk.

Choice B Reason: A history of suicide attempts

A previous history of suicide attempts is one of the strongest predictors of future suicide risk. Individuals who have attempted suicide in the past are at a higher risk of attempting again, often with more lethal means. This history indicates underlying issues such as severe depression, hopelessness, or other mental health disorders that need to be addressed through comprehensive treatment and support.

Choice C Reason: Currently married

Being currently married is generally considered a protective factor against suicide rather than a risk factor. Marriage can provide emotional support, companionship, and a sense of responsibility, which can help mitigate feelings of loneliness and despair. However, the quality of the marital relationship is crucial; a troubled marriage can contribute to stress and mental health issues, potentially increasing suicide risk.

Choice D Reason: Alcohol use disorder

Alcohol use disorder is a significant risk factor for suicide. Alcohol can impair judgment, increase impulsivity, and exacerbate underlying mental health conditions such as depression and anxiety. Individuals with alcohol use disorder are more likely to engage in risky behaviors, including suicide attempts. Addressing alcohol use through treatment programs and support groups is essential in reducing suicide risk.

Choice E Reason: Terminal cancer

A diagnosis of terminal cancer can lead to feelings of hopelessness, despair, and a desire to end suffering, which can increase the risk of suicide. Patients with terminal illnesses may experience significant physical pain, emotional distress, and a perceived loss of dignity, all of which can contribute to suicidal ideation. Providing comprehensive palliative care, psychological support, and addressing pain management can help mitigate these risks.

A. Schedule the teaching sessions for a longer duration to promote participation. B. Assist the clients with establishing long-term goals. C. Use "I" statements rather than "you" statements. D. Ensure the teaching sessions occur right before bedtime.

Correct Answer is C

Explanation

Choice A Reason:
Scheduling teaching sessions for a longer duration may not necessarily promote participation among older adults. In fact, prolonged sessions can lead to fatigue and decreased attention, especially in older populations who may have reduced stamina for long activities.

Choice B Reason:
While assisting clients with establishing long-term goals is beneficial for motivation and direction, it is not directly related to eliminating barriers to learning. Goals are more about the outcomes of learning rather than the process itself.

Choice C Reason:
Using "I" statements rather than "you" statements can help eliminate barriers to learning by creating a non-threatening environment. This approach encourages personal responsibility and reduces defensiveness, allowing for more open and effective communication.

Choice D Reason:
Ensuring that teaching sessions occur right before bedtime is not advisable. Older adults may be more tired at the end of the day, and this timing could interfere with their ability to concentrate and retain information.

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A nurse is assisting in the care of a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take to promote a therapeutic environment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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