A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?
Inform the client that restraints may be necessary if she cannot control her behavior.
Assist the client to practice social interaction with peers during a community meeting.
Escort the client to her room when she is observed trying to interact with other clients.
Allow the client to interact freely with others on the unit.
The Correct Answer is B
Choice A reason: Informing the client about the potential use of restraints could be perceived as threatening and may not be therapeutic.
Choice B reason: Assisting the client to practice social interaction in a structured setting like a community meeting can provide a safe environment for interaction and can be part of a therapeutic plan.
Choice C reason: Escorting the client to her room could be isolating and may not address the need for social interaction, which is important for clients with bipolar disorder.
Choice D reason: Allowing the client to interact freely might not be appropriate if the behavior is disturbing others. It's important to find a balance that respects both the client's needs and those of others.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Ensuring safety is important, but it does not directly address the immediate risk of suicide as effectively as understanding the client's intentions.
Choice B reason: Informing the provider is a critical step, but it should follow after assessing the immediate risk to the client's safety.
Choice C reason: Questioning the client about a suicide plan and method is the most immediate and direct way to assess the risk of suicide and take appropriate safety measures.
Choice D reason: Administering medication is important for managing anxiety but does not take precedence over assessing the risk of suicide in a client expressing such thoughts.
Correct Answer is D
Explanation
Choice A reason: This approach is non-intrusive and allows the patient to become accustomed to the presence of others without feeling pressured to interact, which can be beneficial for someone with major depressive disorder who is isolating themselves.
Choice B reason: While group therapy is important, insisting that the patient comes with you when they are isolating themselves might be too forceful and could lead to increased resistance or distress.
Choice C reason: Introducing the patient to others is a good step, but it should not be the first approach if the patient is actively isolating and may not be ready for social interaction.
Choice D reason: Asking "What are you thinking about?" can be a good way to start a conversation, but it might be too direct for a patient who is not yet ready to open up and could feel invasive.
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