The nurse manager of a psychiatric inpatient facility is orienting a newly hired nurse. Which instruction would the manager provide regarding clients with bipolar disorder?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "Continuously assess the clients for mood elevation."
2. "Make safety a priority."
3. "Offer fluids such as coffee or tea frequently through the day."
4. "Monitor the client's sleep cycles."
5. "Measure vital signs four times a day."
1,2,4
Rationale 1: Mood elevation signals a change and should be monitored for continuously.
Rationale 2: Safety should be the priority for clients with this disorder.
Rationale 3: Caffeine should be eliminated.
Rationale 4: Disturbances in sleep cycle often precede disease exacerbation.
Rationale 5: It is not necessary to measure vital signs frequently.
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