More Questions on the Topic
More Questions on the Topic ( 13 Questions)
A nurse is caring for a client who has been diagnosed with bipolar disorder and is experiencing a manic episode. The client is talking rapidly, making grandiose plans, and exhibiting poor impulse control. Which of the following interventions should the nurse implement?
Encourage the client to participate in group activities with other clients. - This is an incorrect intervention, as group activities may increase the client's stimulation, agitation, and inappropriate behavior. The nurse should limit the client's interactions with other clients and staff during a manic episode.
Provide the client with a quiet, private room and limit stimulation. - This is an incorrect intervention, as isolating the client may increase their feelings of loneliness, rejection, and paranoia. The nurse should provide the client with a safe and structured environment that allows for some social contact and supervision.
Allow the client to make decisions about their care and treatment. - This is an incorrect intervention, as the client may have impaired judgment, insight, and decision-making ability during a manic episode. The nurse should involve the client in their care as much as possible, but also consult with the client's family, health care provider, and legal representative if needed.
The nurse should redirect the client's attention to reality-based topics and activities, as this can help to decrease the client's agitation, distractibility, and impulsiveness. The nurse should also use clear, concise, and calm communication with the client and set consistent limits and expectations.
Correct answer: D) Redirect the client's attention to reality-based topics and activities.
Rationale: The nurse should redirect the client's attention to reality-based topics and activities, as this can help to decrease the client's agitation, distractibility, and impulsiveness. The nurse should also use clear, concise, and calm communication with the client and set consistent limits and expectations.
Incorrect options:
A) Encourage the client to participate in group activities with other clients. - This is an incorrect intervention, as group activities may increase the client's stimulation, agitation, and inappropriate behavior. The nurse should limit the client's interactions with other clients and staff during a manic episode.
B) Provide the client with a quiet, private room and limit stimulation. - This is an incorrect intervention, as isolating the client may increase their feelings of loneliness, rejection, and paranoia. The nurse should provide the client with a safe and structured environment that allows for some social contact and supervision.
C) Allow the client to make decisions about their care and treatment. - This is an incorrect intervention, as the client may have impaired judgment, insight, and decision-making ability during a manic episode. The nurse should involve the client in their care as much as possible, but also consult with the client's family, health care provider, and legal representative if needed.