The nurse planning the care for an adolescent client experiencing the manic phase of bipolar disorder would include which of the following interventions to address hallucinations?

1. Discuss a homework assignment
2. Keep isolated in a quiet room
3. Encourage spending time with others
4. Explain that hallucinations are not real


4. Explain that hallucinations are not real

Rationale:
The adolescent client in the manic phase of bipolar disorder experiencing hallucinations should not be left alone in a quiet room but rather should be talked with and explained that the hallucinations are not real. The nurse should not discuss homework assignments or encourage the client to spend time with others. The hallucinations need to be addressed.

Nursing

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The nurse is conducting a focused neurologic assessment. When assessing the patient's cranial nerve function, the nurse would include which of the following assessments?

A) Assessment of hand grip B) Assessment of orientation to person, time, and place C) Assessment of arm drift D) Assessment of gag reflex

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The nurse caring for a client with a neurologic deficit must begin client and family teaching long before discharge

Indicate whether the statement is true or false

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The nurse is preparing to ambulate a school-age client who had an appendectomy. In addition to pharmacological pain management, the nurse can use which nonpharmacological pain-management strategy for this client?

1. A heating pad 2. A warm, moist pack 3. A pillow on the abdomen 4. An ice pack

Nursing