Appropriate plans to suggest to the family of a bipolar client who is being treated as an outpatient
during a hypomanic episode include (more than one answer may be correct)
A. providing structure.
B. limiting credit card access.
C. encouraging group social interaction.
D. suggesting limiting work to half-days.
A, B
Rationale: A client with hypomania is expansive, grandiose, labile, uses poor judgment, spends
inappropriately, and is overstimulated by a busy environment. Providing structure would help the
client maintain appropriate behavior. Financial irresponsibility may be avoided by limiting access to
cash and credit cards. Option C: Group socialization should be kept to a minimum to reduce
stimulation. Option D: Leave of absence from work will be necessary to limit stimuli and prevent
problems associated with poor judgment and inappropriate decision-making that accompany
hypomania.
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A frail, elderly patient admitted with dehydration to a medical-surgical unit is exhibiting confusion, distractibility, memory loss, and irritability. What is most important for the nurse to do?
a. Recognize these symptoms as signs of normal, physiologic aging. b. Obtain a urine specimen before notifying the primary care provider. c. Be sure she is placed in a room occupied with another patient. d. Interview the patient to screen for clinical depression.
A patient with major depression has lost 20 pounds in one month has chronic low self-esteem and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention is most directly related to this outcome:
"Patient will refrain from gestures and attempts to harm self"? a. Implement suicide precautions. b. Frequently offer high-calorie snacks and fluids. c. Assist the patient to identify three personal strengths. d. Observe patient for therapeutic effects of antidepressant medication.
Dr. Schneider wants to obtain a sample of Laura's blood for a routine blood test. He uses an antiseptic swab to clean the skin before using a hypodermic syringe. After he obtains a sample, Dr. Schneider asks Laura to hold some cotton on the site of the injection. He explains that the antiseptic used increases bleeding. Which of the following chemicals is most likely to be part of the antiseptic solution?
A. Chlorhexidine B. Sodium hypochlorite C. Povidone-iodine D. Isopropyl alcohol
Select the eight categories of the cycle of violence.
A) Using emotional abuse, using isolation, blaming, using children, using male privileges, using economic abuses, using coercion, abusing pets B) Using intimidation, using emotional abuse, using children, using male privileges, using economic abuses, using coercion, limiting the victim's outside involvements C) Using intimidation, using emotional abuse, using isolation, blaming, using children, using male privileges, using economic abuses, using coercion D) Using intimidation, using isolation, blaming, using children, using male privileges, using economic abuses, using coercion, putting the victim down