A client with mania is demonstrating hypersexual behavior: blowing kisses to other clients, making suggestive remarks, and removing some articles of clothing. Which of the following interventions is indicated at this time?
A) Accompany the client to her room to get her dressed.
B) Put the client in seclusion for her own protection.
C) Tell other clients to ignore the behavior because it is harmless.
D) Tell the client that the behaviors have to stop right now.
A
Feedback: Redirecting the client to appropriate behavior without confrontation is most effective. Seclusion is not an appropriate intervention for this situation. Ignoring the behavior is not beneficial. For the client in the manic phase, telling her to stop the behavior may escalate it.
You might also like to view...
A child with sickle cell anemia is prescribed the drug hydroxyurea. What effect from the drug should the patient expect to have?
a. Increase energy b. Decrease cardiomegaly c. Clean out obstructed vessels d. Produce a hemoglobin that resists sickling
As the nurse caring for a 25-year-old patient who has recently been diagnosed with testicular cancer, you know that this patient's illness will impact every aspect of his life. What developmental tasks might you expect to be affected?
A) Achieving self-actualization B) Marrying and starting a family C) Reviewing life's accomplishments D) Establishing financial security
What does exploratory factor analysis do?
A) Reduce a small set of variables into a smaller set of underlying dimensions B) Reduce a large set of variables into a larger set of underlying dimensions C) Reduce a small set of variables into a larger set of underlying dimensions D) Reduce a large set of variables into a smaller set of underlying dimensions
A pregnant patient who is taking ondansetron (Zofran) for morning sickness tells the nurse she is experiencing headache and dizziness. What will the nurse tell her?
a. It is not safe to take this drug during pregnancy. b. These are common side effects of ondansetron. c. She should stop taking the ondansetron immediately. d. She should report these adverse effects to her provider.