A nurse is working with a family whose child has bipolar disorder. Which item is the most appropriate for the nurse to including in the teaching session for this child and family?
A.
Ensure the child follows all house rules; do not give in.
B.
Instruct family that if mania is uncontrollable, hospitalization is required.
C.
Protect younger children from sexually aggressive behaviors.
D.
Provide routine and structure and appropriate freedom.
ANS: D
In bipolar disorder, structure and routine are important. The child can be allowed freedoms as appropriate and within limits. Prioritizing battles is also important; the nurse should not encourage rigidity in the parents. While hypersexualized behavior can be apparent, patients with bipolar disorder are not necessarily sexually aggressive. Hospitalization may be required briefly in extreme cases.
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