The nurse is concerned that a client is moving into the manic phase of bipolar disorder when what is assessed?
Standard Text: Select all that apply.
1. Not sleeping
2. Losing weight
3. Sluggish activity
4. Complaints of muscle pain
5. Constant talking
Correct Answer: 1,2,5
Rationale 1: Decreased need for sleep is a symptom of the manic phase of bipolar disorder.
Rationale 2: Decreased need for food is a symptom of the manic phase of bipolar disorder.
Rationale 3: Sluggish activity is not a symptom of the manic phase of bipolar disorder.
Rationale 4: Complaints of muscle pain are not a symptom of the manic phase of bipolar disorder.
Rationale 5: Increased talkativeness is a symptom of the manic phase of bipolar disorder.
Global Rationale: Decreased need for sleep, decreased need for food, and increased talkativeness are symptoms of the manic phase of bipolar disorder. Sluggish activity and complaints of muscle pain are not symptoms of the manic phase of bipolar disorder.
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a. Would another LPN do the same thing under these circumstances? b. Why was there no one directly supervising Mrs. Smith at all times? c. Where was the physician while all this was going on? d. Did Mrs. Smith give express permission for the IV?
The probability of effectiveness of the change process can be increased through several techniques. Which of the following actions will likely increase effectiveness (select all that ap-ply)?
a. Explain the rationale for a change so that individuals understand it. b. Simply announce the change without lay-ing a foundation. c. Give participants all the information they need. d. Rely only on formal authority in imple-menting change. e. Help individuals cope with change.
Which of the following is a core competency required of public health nurses?
a. Knowledge in the use of high-technology diagnostics b. Knowledge of the implementation of electronic medical records c. Skill in the physical assessment of complex clients d. Skill in developing policy and planning programs
The client smokes two packs of cigarettes per day. The nurse works with the client, and they agree that he will smoke one cigarette less each week until he is down to one pack per day
In 3 weeks, the client is smoking two and a half packs of cigarettes per day. This is an example of: 1. A realistic goal 2. A compliant client 3. A negative evaluation 4. A nonmeasurable goal