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After hospital discharge, what is the priority intervention for a patient diagnosed with bipolar disorder who is taking antimanic medication?
- A. Decreasing physical activity
- B. Increasing food and fluids
- C. Meeting self-care needs
- D. Psychoeducation
Correct Answer: D
Rationale: Psychoeducation promotes medication adherence and relapse prevention, which are critical post-discharge. Other options are less prioritized.
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This nursing diagnosis applies to a patient experiencing mania: imbalanced nutrition: less than body requirements, related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days. What is the most appropriate outcome related to patient behavior?
- A. Asking staff for assistance with feeding within 4 days
- B. Drinking six servings of a high-calorie, high-protein drink each day
- C. Consistently sitting with others for at least 30 minutes at mealtime within 1 week
- D. Wearing appropriate attire for age and gender within 1 week while in the psychiatric unit
Correct Answer: B
Rationale: High-calorie, high-protein supplements address the nutritional deficit caused by hyperactivity. Other options do not directly ensure adequate caloric intake.
A patient diagnosed with bipolar disorder commands other patients, 'Get me a book. Take this stuff out of here,' and other similar demands. What is the best initial approach by the nurse to interrupt this behavior without entering into a power struggle?
- A. Distraction: 'Let's go to the dining room for a snack.'
- B. Humor: 'How much are you paying servants these days?'
- C. Limit setting: 'You must stop ordering other patients around.'
- D. Honest feedback: 'Your controlling behavior is annoying others.'
Correct Answer: A
Rationale: Distraction leverages the patient's distractibility to redirect behavior constructively, avoiding power struggles. Other options may incite anger or seem confrontational.
A patient experiencing acute mania has disrobed in the hall three times in 2 hours. What intervention should the nurse implement?
- A. Place the patient in the seclusion room.
- B. Ask if the patient finds clothes bothersome.
- C. Tell the patient that others feel embarrassed.
- D. Arrange for one-on-one supervision.
Correct Answer: D
Rationale: One-on-one supervision provides structure to prevent repeated disrobing. Seclusion is not warranted, and other options are ineffective.
A patient experiencing acute mania waves a newspaper and says, 'I must have my credit card and use the computer right now. A store is having a big sale and I need to order 10 dresses and four pairs of shoes.' What is the nurse's most appropriate intervention?
- A. Suggesting to the patient to ask a friend to do the shopping and bring purchases to the unit
- B. Inviting the patient to sit with the nurse and look at new fashion magazines
- C. Telling the patient that computer use is not allowed until self-control improves
- D. Asking whether the patient has enough money to pay for the purchases
Correct Answer: B
Rationale: Distraction with fashion magazines leverages the patient's distractibility to avoid power struggles and reduce impulsive behavior. Other options may escalate frustration.
Which dinner menu is best suited for the patient diagnosed with bipolar disorder experiencing acute mania?
- A. Spaghetti and meatballs, salad, a banana
- B. Beef and vegetable stew, a roll, chocolate pudding
- C. Broiled chicken breast on a roll, an ear of corn, apple
- D. Chicken casserole, green beans, flavored gelatin with whipped cream
Correct Answer: C
Rationale: Finger foods like chicken on a roll and corn allow the hyperactive patient to eat on the go. Other options require utensils, which may be impractical.