A child complains to the school nurse about painful verbal ...

[javeds]

A child complains to the school nurse about painful verbal bullying by an aggressive classmate. What is the nurse's best first action?
 
  a. Give notice to the chief administrator at the school regarding the events.
  b. Support the victimized child to share feelings about the experience.
  c. Encourage the victimized child to ignore the bullying behavior.
  d. Discuss the events with the aggressive classmate.

Question 2

A nurse presents a psychoeducational program to patients with bipolar disorder and their families. Information about signs of impending relapse of mania should include
 
  a. diarrhea, thirst, and gross tremor.
  b. sleep disturbances and racing thoughts.
  c. decreased libido, anhedonia, and hypersomnia.
  d. delusional thinking, excessive guilt, and passivity.

[emily12345]

Answer to Question 1

B
The behaviors by the bullying child create emotional pain and present the risk for physical pain. The nurse should first listen to the child's complaints and validate the child for reporting the events. Later, school authorities should be notified. School administrators are the most appropriate personnel to deal with the bullying child. The behavior should not be ignored; it will only get worse.

Answer to Question 2

B
Relapse symptoms are congruent with early symptoms of a manic episode. They include sleeping less, experiencing racing thoughts, and having boundless energy. Diarrhea, thirst, and tremor relate to lithium side effects. Libido increases. Delusional thinking may occur in an exacerbation of the illness but not usually before relapse.