A resident in the long-term care facility has been in a manic stage for 2 days. He has not slept and cannot focus long enough to eat a meal. The nurse can enhance his nutrition by:
a. insisting he sit down and eat at the table at regular mealtimes.
b. spoon-feeding him at the table at regular mealtimes.
c. handing him small glasses of high-protein drinks every hour.
d. making up a game about who can finish a meal first.
C
Mania is an elevation in mood that includes increased grandiosity or irritability that is present for at least 1 week. A manic person may exhibit pressured speech, which is talking that is loud and rapid and difficult to interrupt; or flight of ideas, where the speaker goes from topic to topic with little or no connection. There is an inability to concentrate, a decreased need for sleep or nutrients, and an increase in goal-directed activity, impulsive spending, and hypersexuality. Unstable and frequently changing, or labile, behavior is often seen in manic patients; a mood of frivolity and joking can rapidly change to agitation and extreme paranoia. The agitation and irritability seen in manic patients can often lead to aggressive behavior. Because of the manic patient's abbreviated focus, eating an entire meal may not be possible. Offering a small amount of high-energy foods and drinks every hour will support nutrition until the manic behavior is under control.
You might also like to view...
The nurse points out to a group of young women who are being treated for pelvic inflammatory disease (PID) that because of the effect of this disease on their reproductive organs, they may become _________________________
Fill in the blank(s) with correct word
When the mother's membranes rupture during active labor, the fetal heart rate should be observed for the occurrence of which periodic pattern?
a. Increase in baseline variability b. Nonperiodic accelerations c. Early decelerations d. Variable decelerations
Water pollution that occurs through the runoff, seepage, or falling of pollutants into the water is
A. point source pollution B. nonpoint source pollution C. thermal inversion D. secondary pollutants
When giving a bed bath, wash the body in this order:
A. face, trunk, pubic area, arms, legs, back. B. face, trunk, arms, back, pubic area, legs. C. face, arms, trunk, legs, back, pubic area. D. hands, arms, face, trunk, legs, back, pubic area.