A client with bipolar disorder resides in a group home and frequently violates the boundaries of other residents and exhibits aggression. How should the nurse who works at this facility best respond to this resident's actions?

Question

A) Administer benzodiazepines frequently to increase serum levels prior to a manic episode
B) Ensure that the client knows that there will be punitive measures if the client exhibits inappropriate behavior
C) Gradually increase the client's lithium dosages in anticipation of a manic episode
D) Develop a behavioral care plan in collaboration with the client to foster self-control

Answer 1

Ans: D
Feedback:
Developing a behavioral care plan with input from clients helps maintain self-control. Similar to a contract, a behavioral care plan details parameters for social interaction, such as which behaviors and comments are (or are not) appropriate. Benzodiazepines are not normally used on a prophylactic basis and it would be inappropriate to unilaterally increase a client's lithium dosages. Punishment is not used as a behavior modification technique.