Guaranteed Answers.
which S&S would the nurse observe in a client with bipolar disorder, depressed episode?
a) elated affect related to reaction formation
b) loose associations related to a thought disorder
c) physical exhaustion related to decreased physical activity
d) paucity of verbal expression related to slowed thought processes - >d
which intervention would be included in the plan of care for a client with bipolar disorder?
select all that apply
1. touch the client to provide reassurance
2. provide a structured environment for the client
3. ensure that the client's nutritional needs are met
4. engage the client in conversation about current affairs
5. design activities that require the client to maintain short-term memory - >2,3
a client with bipolar disorder, depressed episode, displays an increase in depression over
the past month. which behavior is expected?
a) elated affect
b) loose associations
c) physical exhaustion
d) slowed thought processes - >d
for a client with bipolar disorder in the manic phase, which S&S are expected? select all
that apply
1. irritability
2. grandiosity
3. pressured speech
4. thought blocking
,5. psychomotor retardation - >1,2,3
in the acute phase of bipolar disorder, manic episode, which biopsychosocial need is the
priority?
a) psychological
b) physical
c) intellectual
d) relational - >b
during an admission interview, a client is expansive and distractible and demonstrates a
fragmented, pressured, non sequential pattern of speech. which communication
technique would the nurse use?
a) closed question
b) active listening
c) paraphrasing
d) open-ended questions - >a
a woman with bipolar disorder, manic episode, spent thousands of dollars on clothing and
makeup; then she started going to bars every night and rarely sleeps or eats. which
concept is the priority in planning care for this patient?
a) mood and affect
b) fatigue
c) nutrition
d) safety - >d
which behavior indicates that a client who has bipolar disorder with episodes of mania has
entered the working stage of the therapeutic nurse-client relationship?
a) client identifies goals for the client-nurse interaction
b) client explores the effect of bipolar behavior on the family
c) client expresses ambivalence about meeting with the nurse
d) client informs the nurse that other family members are bipolar - >b
, an older client describes the current situation and then offers information that goes further
and further off topic. which pattern of communication is the client using?
a) perseveration
b) thought blocking
c) pressured speech
d) tangential thinking - >d
which action would the nurse take when the language of a client in the manic phase of a
bipolar disorder becomes vulgar and profane?
a) state, "We don't like that kind of talk around here."
b) ignore it because the client is using it to gain attention
c) recognize that the behavior is part of the illness, but set limits on it
d) respond, "We'll talk with you when you can speak in an acceptable way" - >c
which feeling would the nurse anticipate a manic client with bipolar 1 disorder is likely
experiencing?
a) guilt
b) grandeur
c) worthlessness
d) self-deprecation - >b
which supervised activity would be therapeutic for a client with bipolar disorder, manic
episode, during the early phase of treatment?
a) doing a needlepoint project
b) joining a brief swimming competition
c) walking around the facility with a nurse
d) playing a board game with another client - >c
which instructions would the nurse include regarding how to help prevent or identify
impending relapse for a group of clients who experience bipolar disorder, manic
episodes? select all that apply
1. watch for changes in libido