A nursing instructor is discussing various challenges in the treatment of clients diagnosed with bipolar disorder. Which student statement demonstrates an understanding of the most critical challenge in the care of these clients?
1. "Treatment is compromised when clients can't sleep."
2. "Treatment is compromised when irritability interferes with social interactions."
3. "Treatment is compromised when clients have no insight into their problems."
4. "Treatment is compromised when clients choose not to take their medications."
4
Rationale: The nursing student is accurate when stating that the most critical challenge in the care of clients diagnosed with bipolar disorder is that treatment is often compromised when clients choose not to take their medications. Clients diagnosed with bipolar disorder feel most productive and creative during manic episodes. This may lead to purposeful medication nonadherence. Symptoms of bipolar disorder will reemerge if medication is stopped.
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