A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following goals should the nurse include?

Client sleeps 6 hr each night.

Client has a 0.9 kg (2 lb) weight loss from previous week.

Client has an increase in urine specific gravity

Client gives personal gifts to other clients.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

During the manic phase of bipolar disorder, sleep disturbances are common. Setting a goal for the client to achieve an appropriate amount of sleep can help stabilize their mood and reduce the intensity of manic symptoms.

Choice B rationale:

A weight loss goal might be more appropriate during the depressive phase, as manic episodes are often associated with increased energy and decreased appetite.

Choice C rationale:

Increased urine specific gravity is not a specific goal for managing the manic phase of bipolar disorder.

Choice D rationale:

Giving personal gifts to other clients might be a manifestation of the client's manic behavior and is not a goal to strive for.

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Correct Answer is A

Explanation

Choice A rationale:

Donepezil is a cholinesterase inhibitor that is commonly prescribed for individuals with Alzheimer's disease. It helps increase the levels of acetylcholine in the brain, which can temporarily improve cognitive function and slow the progression of cognitive decline in some individuals with Alzheimer's disease.

Choice B rationale: Chlordiazepoxide is a benzodiazepine medication used to treat anxiety and alcohol withdrawal symptoms. It is not indicated for the treatment of Alzheimer's disease and is not recommended due to its potential to cause sedation and cognitive impairment.

Choice C rationale: Naltrexone is an opioid receptor antagonist primarily used to treat opioid and alcohol dependence. It is not indicated for the treatment of Alzheimer's disease.

Choice D rationale: Buprenorphine is a partial opioid agonist used to treat opioid dependence and moderate to severe pain. It is not indicated for the treatment of Alzheimer's disease.

A. "Follow a high-fiber diet until inflammation subsides." B. "Use a soapsuds enema as needed." C. "Avoid bending at the waist." D. "Restrict fluid intake to 1.5 liters per day."

Correct Answer is A

Explanation

Choice A rationale:

A high-fiber diet is not recommended during acute inflammation, as it may be too abrasive for the inflamed bowel. Diverticulitis is a condition in which small pouches in the colon become inflamed and infected. A high-fiber diet can help prevent constipation and reduce pressure in the colon, which can aggravate diverticulitis.

Choice B rationale:

Soapsuds enemas are not typically used for diverticulitis. They can cause irritation and discomfort.

Choice C rationale:

Bending at the waist has no effect on diverticulitis and is not a relevant instruction.

Choice D rationale:

Fluid restriction can lead to dehydration and constipation, which can exacerbate diverticulitis. A client with diverticulitis should drink plenty of fluids to stay hydrated and soften the stool.

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A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following goals should the nurse include?

Nursing Test Bank

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