A nurse is providing care to a patient with bipolar disorder. What is the primary goal of the nursing process during the implementation phase for this patient?
Collecting data about the patient's physical status.
Evaluating the effectiveness of the interventions.
Planning evidence-based interventions for the patient.
Administering pharmacological treatments.
The Correct Answer is B
Choice B rationale:
Evaluating the effectiveness of interventions is the primary goal of the nursing process during the implementation phase for a patient with bipolar disorder. Bipolar disorder is a chronic condition that requires ongoing management, and interventions are implemented to address both manic and depressive symptoms. By evaluating the effectiveness of interventions, the nurse can determine if the patient's symptoms are improving, worsening, or remaining stable. This information guides further adjustments to the care plan, ensuring that the patient receives the most appropriate and beneficial treatment.
Choice A rationale:
Collecting data about the patient's physical status is an important aspect of the assessment phase, not the implementation phase, of the nursing process. While physical status assessment informs the development of the care plan, the primary focus of implementation is to put the planned interventions into action and evaluate their outcomes.
Choice C rationale:
Planning evidence-based interventions for the patient is a crucial step in the planning phase of the nursing process. During this phase, the nurse identifies interventions that are tailored to the patient's specific needs and based on evidence-based practice. Once the planning is complete, the nurse moves on to implementing the interventions and subsequently evaluating their effectiveness.
Choice D rationale:
Administering pharmacological treatments is an action that falls within the implementation phase of the nursing process. However, it is not the primary goal of this phase for a patient with bipolar disorder. While pharmacological treatments may be part of the interventions, the primary focus is on evaluating the outcomes of these interventions to ensure the patient's symptoms are being effectively managed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Dry mouth is a common side effect of many medications, but it is not a distinctive side effect of SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Dry mouth is more commonly associated with medications that affect salivary gland function, such as anticholinergic drugs.
Choice B rationale:
Weight loss can indeed be a side effect of SNRIs. These medications can impact appetite and metabolism, leading to weight loss in some individuals. However, it is not the most common or distinctive side effect when compared to other options.
Choice C rationale:
Constipation is a side effect that can occur with SNRIs, but it's not as prevalent or characteristic as some other side effects. Constipation is often associated with medications that have anticholinergic effects, which SNRIs generally have to a lesser extent.
Choice D rationale:
(Correct Choice) Insomnia is a well-known side effect of SNRIs. These medications can affect sleep patterns and may cause difficulties falling asleep or staying asleep. This side effect is particularly relevant to discuss with patients because it can impact their quality of life and overall well-being.
Correct Answer is D
Explanation
Choice A rationale:
Antipsychotics are often used to manage acute manic episodes in bipolar disorder, but they are not considered the gold standard for overall treatment. They may have a role as adjunctive therapy or in specific situations, but they are not typically the primary choice for maintenance treatment.
Choice B rationale:
Antidepressants are used in bipolar disorder treatment, but they are often cautiously prescribed due to the risk of triggering manic episodes or rapid cycling. They are not considered the gold standard due to this potential for destabilization.
Choice C rationale:
Benzodiazepines may be used to manage acute agitation or anxiety in bipolar disorder, but they are not the gold standard for long-term treatment. Prolonged use can lead to dependence and may not address the underlying mood instability.
Choice D rationale:
Mood stabilizers. Mood stabilizers like lithium, valproate (divalproex), and lamotrigine are considered the gold standard for bipolar disorder treatment due to their efficacy in managing both acute episodes (manic, hypomanic, and depressive) and providing long-term stabilization. These medications help prevent relapses and mood swings by regulating neurotransmitters and stabilizing mood fluctuations.
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