A nurse is collecting data from a client who is in the manic phase of bipolar disorder. Which of the following findings should the nurse expect?

Grandiose thinking

Hypersomnia

Blunted affect

Slurred speech

Answer and Explanation

The Correct Answer is A

Clients in the manic phase often exhibit inflated self-esteem, a sense of superiority, and grandiose thinking. They may have unrealistic beliefs about their abilities, accomplishments, or importance.

Hypersomnia, or excessive sleepiness, is not typically associated with the manic phase of bipolar disorder. Instead, individuals in the manic phase often experience a decreased need for sleep and may go for long periods with little or no sleep.

Blunted affect refers to a lack of emotional expression or reduced intensity of emotional responses. It is more commonly associated with depressive episodes of bipolar disorder rather than the manic phase.

Slurred speech is not a typical finding in the manic phase of bipolar disorder. However, individuals in the manic phase may exhibit rapid or pressured speech, talking excessively, rapidly switching topics, or having difficulty keeping up with their own thoughts.

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Correct Answer is D

Explanation

Kosher dietary laws prohibit the consumption of shellfish (such as clam chowder and shrimp salad) and pork (such as a pulled-pork sandwich). Therefore, the nurse should avoid including clam chowder, pulled-pork sandwich, and shrimp salad in the client's menu.

Instead, offering foods that comply with kosher guidelines, such as roasted salmon, ensures that the client's dietary needs and preferences are respected.

A. Verify the medication three times with the medication administration record. B. Document medication administration prior to administering medication. C. Administer time-critical medication 60 min before or after the scheduled time. D. Identify the client by using one identifier before giving the medication.

Correct Answer is A

Explanation

a. Verify the medication three times with the medication administration record.

When administering oral medications, the nurse should verify the medication three times with the medication administration record to ensure that the correct medication is being given to the correct client at the correct time. This is known as the "three checks" and is an important step in preventing medication errors.

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A nurse is collecting data from a client who is in the manic phase of bipolar disorder. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray?

Correct Answer is D

Explanation

A nurse is administering a client's morning oral medications. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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