Question

A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? 1. a. Encourage the client to join group activities b. Dim the lights in the clients roomm c. Provide detailed explanations to the client d. Administer methyphenidate to the client 2. A nurse is leading a crisis intervention group of adolescents who witnessed the suicide of a classmate. Whch of the following actions should the nurse take first? a. b. c. d. Initiate referrals Review community resources Identify prior coping skills Discuss the important of confidentiality 3. A nurse overhears a client saying "I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is up high." The nurse should document the clients statement as which of the following speech alterations? a. Echoalia b. Word Salad C. Neologism d. Clang association 4. A nurse is a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use? a. b. c. d. Crisis intervention to decrease anxiety Aversion therapy to provide distraction Positive reinforcement to increase desired behavior Systematic desensitization to extinguish the behavior A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? 5. a. Ask the client to discuss precipitating events b. Speak to the client in a high-pitched voice c. Place the client in seclusion d. Have the client breathe into a paper bag 6. A nurse is providing teaching about disulfiram to a client who has a history of alcohol use. Which of the following instructions should the nurse include in the teaching? (Select All that Apply) a. b. c. d. e. You will need to take the medication once daily You will receive treatment in an inpatient setting You should avoid using mouthwash that contains alcohol You should avoid drinking carbonated beverages while taking the meds You can expect to develop a physical dependent to the medication

Answer 1

1.C. Communication is the key to calm the patient who is suffering from maniac phase, hence a detailed information about the pathophysiology of the condition will help the patient understand its case and gain some insights thereby reducing the symptoms.

2. C. The nurse should first identify the coping skills the students have been taking and should differentiate between the healthy and unhealthy coping mechanism.

3. D. The nurse should document the statement as cland association as there is a rhyming involved in the words unlike the other three options.

4.D. The technique which the nurses should use is systemic desentization where the patient is provided with different techniques of relaxation and ways to control the urges to steal things, it also helps to reduce the anxiety and have proven to stop kleptomania.