More Questions on the Topic
More Questions on the Topic ( 13 Questions)
A client is diagnosed with bipolar disorder and is experiencing a manic episode. The nurse observes that the client is talking rapidly, jumping from one topic to another, and making grandiose plans. Which of the following is an appropriate response by the nurse?
"You need to calm down and stop talking so much." - This is an inappropriate response by the nurse, as it is rude, dismissive, and authoritarian. It does not acknowledge or address the underlying cause of the client's behavior, which is a symptom of their mental illness. It also does not promote therapeutic communication or rapport building, as it can make the client feel criticized, rejected, or angry.
"Tell me more about your plans for becoming a famous singer." - This is an inappropriate response by the nurse, as it encourages the client to elaborate on their grandiose ideas, which are unrealistic and indicative of impaired judgment. It also does not provide any feedback or guidance for the client, who may benefit from reality orientation and limit setting.
The nurse should use a calm, clear, and concise communication style when interacting with a client who is experiencing mania, as this can help to reduce stimulation and confusion for the client. The nurse should also provide feedback on the client's behavior and speech patterns, and gently redirect the client to focus on one topic at a time.
"You are being unrealistic and delusional. You need to face reality." - This is an inappropriate response by the nurse, as it is harsh, confrontational, and judgmental. It does not demonstrate empathy or respect for the client's feelings and experiences, which may be very real and meaningful for them. It also does not foster therapeutic communication or rapport building, as it can make the client feel attacked, humiliated, or defensive.
Correct answer: C) "I'm having trouble following your thoughts. Can you slow down a bit?"
Rationale: The nurse should use a calm, clear, and concise communication style when interacting with a client who is experiencing mania, as this can help to reduce stimulation and confusion for the client. The nurse should also provide feedback on the client's behavior and speech patterns, and gently redirect the client to focus on one topic at a time.
Incorrect options:
A) "You need to calm down and stop talking so much." - This is an inappropriate response by the nurse, as it is rude, dismissive, and authoritarian. It does not acknowledge or address the underlying cause of the client's behavior, which is a symptom of their mental illness. It also does not promote therapeutic communication or rapport building, as it can make the client feel criticized, rejected, or angry.
B) "Tell me more about your plans for becoming a famous singer." - This is an inappropriate response by the nurse, as it encourages the client to elaborate on their grandiose ideas, which are unrealistic and indicative of impaired judgment. It also does not provide any feedback or guidance for the client, who may benefit from reality orientation and limit setting.
D) "You are being unrealistic and delusional. You need to face reality." - This is an inappropriate response by the nurse, as it is harsh, confrontational, and judgmental. It does not demonstrate empathy or respect for the client's feelings and experiences, which may be very real and meaningful for them. It also does not foster therapeutic communication or rapport building, as it can make the client feel attacked, humiliated, or defensive.