Author Question: When a nurse shares that caring for the manic client is less stressful than caring for a depressed ... (Read 73 times)

imowrer · **on:** Jul 19, 2018

When a nurse shares that caring for the manic client is less stressful than caring for a depressed one since they aren't at risk for injury, the nurse manager responds:

a. Every patient requires an assessment for injury risk..
b. Let's consider the ways that acute mania can also cause injuries..
c. You're right that suicide potential always exists with depression..
d. The potential for injury is high for all patients with an affective disorder..

Question 2

Other than the client's right to autonomy, which of the following is one of the explicit considerations in deciding to medicate a client against his or her will?

a. anxiety of other clients on the unit
b. alternative, less-intrusive treatments
c. cost of the medication if poured and refused
d. voluntary or involuntary admission status

ebe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Acute manic states are also a threatening factor for risk of injury. These patients show poor judgment, excessive risk taking, and an inability to evaluate realistic danger and the consequences of their actions. Extreme hyperactivity can lead to exhaustion and even death.

Answer to Question 2

B
Explicit consideration in deciding to medicate a client against his or her will is determining whether this action violates the client's right to autonomy and whether alternative, less-intrusive treatments are available. Other considerations are the benefits of the treatment and what is in the client's best interest. Issues of treatment refusal are in some cases being addressed by psychiatric advance directives. With advance directives a client may indicate--while well--the conditions under which he or she would consent to treatment should he or she become ill and unable to make decisions.