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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
Choice A: Vital Signs The client’s vital signs show a decrease in temperature, respiratory rate, pulse rate, and blood pressure. This could indicate a potential worsening condition as the drop in blood pressure and pulse rate could suggest dehydration or shock, especially given the client’s history of water toxicity.
Choice B: Mucous Membranes The client’s mucous membranes are pale and dry. This could be a sign of dehydration, which would indicate a potentially worsening condition.
Choice C: Vision The client reports blurred vision. This could be a symptom of various conditions, including side effects of medications, glaucoma, or neurological disorders, indicating a potential worsening condition.
Choice D: Lithium Level The client’s lithium level decreased from 1.8 mEq/L to 1.2 mEq/L. This could indicate an improvement as the lithium level is now within the normal range (less than 1.5 mEq/L). However, it’s important to monitor the client’s symptoms as lithium is used to treat bipolar disorder.
Choice E: Urine Output The client’s urine output is 40 mL/hr. This is within the normal range for adults, indicating a potential improvement. However, it’s important to monitor this closely as changes in urine output can be a sign of kidney problems.
Correct Answer is B
Explanation
Choice A: Excessively anxious
Antisocial personality disorder (ASPD) is characterized by a pervasive pattern of disregard for, and violation of, the rights of others. Individuals with ASPD often exhibit behaviors that are manipulative, deceitful, and exploitative. Excessive anxiety is not typically associated with ASPD. Instead, anxiety disorders are more commonly linked with conditions such as generalized anxiety disorder (GAD), panic disorder, and social anxiety disorder. While individuals with ASPD may experience anxiety, it is not a defining characteristic of the disorder.
Choice B: Exploitive of others
Exploitive behavior is a hallmark of antisocial personality disorder. Individuals with ASPD often manipulate and take advantage of others for personal gain or pleasure. This behavior stems from a lack of empathy and a disregard for the feelings and rights of others. Exploitation can manifest in various ways, including deceit, coercion, and manipulation. This trait is central to the diagnosis of ASPD and is one of the key features that differentiate it from other personality disorders.
Choice C: Blunted affect
Blunted affect refers to a significant reduction in the intensity of emotional expression. While this can be seen in various mental health conditions, it is more commonly associated with schizophrenia and other psychotic disorders. In the context of ASPD, individuals may display a superficial charm and a lack of genuine emotional depth, but blunted affect is not a primary characteristic. Instead, their emotional responses may be more calculated and manipulative rather than genuinely blunted.
Choice D: Withdrawn behaviors
Withdrawn behaviors are more characteristic of avoidant personality disorder or social anxiety disorder, where individuals may avoid social interactions due to fear of rejection or criticism. In contrast, individuals with ASPD are often socially engaging, but in a manipulative and deceitful manner. They may seek out social interactions to exploit others rather than to avoid them. Therefore, withdrawn behavior is not typically associated with ASPD.
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