The nurse suspects the client is experiencing a manic episode based on which of the following observations?
a. Clothing is very colorful and mismatched, and client cannot sit in chair during interview.
b. Hair is not combed, clothing is dirty, and client has no interest in surroundings.
c. Client repeatedly washes her hands and picks at a button on her shirt.
d. Client expresses fear that someone is waiting outside the room to harm her.
A
It is not uncommon for manic clients to dress in colorful clothing and have excessive body movement. Clients who look unkempt and neglected are more commonly diagnosed with depression. Repeated behaviors and picking at clothing is often seen in clients with obsessive-compulsive disorders.
You might also like to view...
Which are the traditional organizational structures? Select all that apply
1. Heterarchical 2. Hybrid 3. Matrix 4. Hierarchical 5. Classical 6. Chaos
The health care organization's monthly newsletter has a headline reading "Nurse Promoted to Leader of Specialty Care Units." What is the error inherent in this headline?
1. One person cannot be the leader of all the specialty care units in an organization. 2. A person cannot be promoted to the role of leader. 3. Leaders have to be hired from outside the organization. 4. Nurses cannot serve as leaders over other nurses.
The nurse assessing that the patient with hepatic encephalopathy who has a flapping tremor of the hands will document this condition in the patient's chart as:
A) Asterixis B) Constructional apraxia C) Fetor hepaticus D) Palmar erythema
Consider the following types of immunizations, and choose the one that a health care provider should refuse to administer to a patient diagnosed with acquired immune deficiency syndrome (AIDS)
a. Sera b. Toxoid c. Antitoxin d. Live attenuated viral vaccine