A nurse who works in an inpatient psychiatric facility is caring for a client diagnosed with bipolar disorder. The nurse would look for which activity to indicate the client is about to change from the manic state to the depressed state?

1. The client talks more with others.
2. The client paces the facility halls.
3. The client begins to have sleep disturbances.
4. The client sits quietly in a chair, not moving for long periods of time.


3
Rationale 1: Talking is generally part of the manic state, not the depressed state.
Rationale 2: Pacing is generally part of the manic state, not the depressed state.
Rationale 3: Sleep disturbances often precede changes in mood and other symptoms.
Rationale 4: This behavior would be more indicative of presence in the depressed state, not movement into it.

Nursing

You might also like to view...

A researcher reports that the heights of men aged 53 living in Rapid City, South Dakota, are between 5'7" and 6'0" and that the confidence interval is calculated at the p <.05 level. What does this mean?

a. If the heights of men in Rapid City, South Dakota, do not fall within the confidence interval at least 5% of the time, a type I error has occurred. b. If a 53-year-old man in Rapid City, South Dakota, is measured, there is a 95% chance that his height will fall in the 5'7" through 6'0" interval. c. Ninety-five percent of the 53-year-old men living in Rapid City, South Dakota, are between 5'7" and 6'0". d. The heights of the men in the sample were all between 5'7" and 6'0", and the sample was representative of 95% of the men in town.

Nursing

The most appropriate nursing diagnosis for the child with acute glomerulonephritis is

a. Risk for Injury related to malignant process and treatment b. Deficient Fluid Volume related to excessive losses c. Risk for Imbalanced Fluid Volume related to a decrease in plasma filtration d. Excess Fluid Volume related to fluid accumulation in tissues and third spaces

Nursing

A couple is requesting fertility counseling. The nurse practitioner has identified the factors listed below in the woman's health history, and knows which of them could be contributing to the couple's infertility?

1. The client is 38 years old. 2. The client was 13 years old when she started her menses. 3. The client works as a dental hygienist 3 days a week. 4. The client jogs 2 miles a day.

Nursing

Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

1. Changing the postoperative dressing on a clean wound 2. Irrigating the client's wound 3. Apply a dry dressing 4. Performing a damp-to-damp dressing change

Nursing