ATI: RN real life mental health: bipolar disorder Correct 100%

Nurse Ben performs Susan Choi's initial mental status assessment. Which of the following categories indicates correct nursing assessment findings? (You will find hot spots to select in the artwork below. - ANSWERThe client is experiencing a manic episode with inappropriate responses that are not within appropriate limits. (Grandulose thinking) Nurse Ben and the nursing staff conduct a care planning conference to discuss nursing actions to promote Susan Choi's recovery. Which of the following nursing actions should Ben implement? (Select all that apply.) - ANSWERUsing a firm, calm, matter-of-fact approach can provide structure and offer security to a client who is feeling out of control. Offering high-calorie drinks can compensate for increased caloric expenditures during hyperactivity and prevent serious dehydration. Decreasing light, noise, and interactions can minimize anxiety and agitation. Using distraction to redirect the client to constructive behaviors makes positive use of the client's distractibility. Use of open-ended statements does not provide structure or direction for a client experiencing a manic episode. Encouraging competitive activities can increase excitability and evoke angry outbursts. Nurse Ben develops an initial meal plan for Susan Choi and is preparing to discuss the plan with Susan and her mother. Which of the following menus represents an appropriate diet for Susan? (Select the appropriate image.) - ANSWERA client who is experiencing a manic episode is hyperactive and typically unable to sit for meals. This meal offers "finger foods," and a non-caffeinated beverage, which the client can consume while moving around. But the bagel could be difficult to chew and a peach is messy when eaten. The meal also offers high-protein, high-calorie foods with no utensils. (option c) Nurse Ben is planning care for Susan and is reviewing manifestations of lithium toxicity. The nurse should monitor for which of the following findings? - ANSWERataxia Nurse Ben reviews Susan Choi's assessment data. Which of the following assessment tools should he use to identify suicide risk factors and the need for hospitalization? - ANSWERSAFE-T