The plan of care for a patient in the manic state of bipolar disorder should include which interventions? Select all that apply
a. Touch the patient to provide reassurance.
b. Invite the patient to lead a community meeting.
c. Provide a structured environment for the patient.
d. Ensure that the patient's nutritional needs are met.
e. Design activities that require the patient's concentration.
ANS: C, D
People with mania are hyperactive, grandiose, and distractible. It's most important to ensure the patient receives adequate nutrition. Structure will support a safe environment. Touching the patient may precipitate aggressive behavior. Leading a community meeting would be appropriate when the patient's behavior is less grandiose. Activities that require concentration will produce frustration.
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The nursing faculty recognizes the correct way to instruct the nursing students to acknowledge their charting in a client's medical record is:
1. James Thicket, NS, WVU 2. J. Jones, NS, Montclair Shores College 3. N.H, SN, Bellfield City Community College 4. Linda Mozden, SN, Fairmont State University