Author Question: An appropriate outcome for the treatment plan of a client with grandiose thinking associated with ... (Read 34 times)

Ebrown · **on:** Jul 19, 2018

An appropriate outcome for the treatment plan of a client with grandiose thinking associated with
acute mania would be that the client will demonstrate

a. a more optimistic outlook.
b. uncompromised sleep.
c. interest in his or her environment.
d. distorted thought self-control.

Question 2

A client tells the nurse When I saw my therapist yesterday, he stroked my breast and suggested that
he will give me a pass to leave the hospital if I will meet him at his apartment.. What action should
the nurse take?

a. None; psychiatric clients are not reliable.
b. Report the client's statements to the unit nurse manager.
c. Discuss the statements with the medical director.
d. Call the state medical board.

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

Answer to Question 1

D
The desired outcome is that the client will be able to control the grandiose thinking associated with
acute mania as evidenced by making realistic comments about self, abilities, and plans. Options A
and C: Clients with acute mania are already unduly optimistic as a result of their use of denial, and
they are overly interested in their environment. Option B: Uncompromised sleep is a desired
outcome but is not related to distorted thought processes.

Answer to Question 2

ANS: B
Reporting the client's statements is necessary. Investigation will determine whether the client's
accusation is reliable. The agency chain of command should be used for reporting.