Author Question: A client diagnosed with bipolar disorder states, I hate oatmeal. Let's get everybody together to do ... (Read 38 times)

B · **on:** Jul 19, 2018

A client diagnosed with bipolar disorder states, I hate oatmeal. Let's get everybody together to do exercises. I'm thirsty and I'm burning up. Get out of my way; I have to see that guy. What should be the priority nursing action?

A. Assess the client's vital signs.
B. Offer to have the dietitian discuss food preferences.
C. Encourage the client to lead the exercise program in the community meeting.
D. Acknowledge the client briefly and then walk away.

Question 2

A client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change.

What should be the nurse's initial intervention? A. Ask the group to take a vote on alternative weekend events.
B. Remind the client to quiet down or leave the dayroom.
C. Assist the client to move to a calmer location.
D. Discuss with the client impulse control problems.

irishcancer18 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
When assessing a client diagnosed with bipolar disorder, the nurse should not lose sight of the fact that co-occurring physical problems could be masked by hyperactive, manic, or both behaviors. The client's statement of I'm thirsty and I'm burning up could be a symptom of either infection or dehydration and must be assessed.

Answer to Question 2

C
During a manic episode, the client experiences increased agitation and extreme hyperactivity that can lead to a risk for injury. Overstimulation can exacerbate these symptoms. Therefore, the nurse's initial action should focus on removing the client from the stimulating environment to a calmer location.