Author Question: A nursing instructor is discussing various challenges in the treatment of clients diagnosed with ... (Read 89 times)

lak · **on:** Jul 19, 2018

A nursing instructor is discussing various challenges in the treatment of clients diagnosed with bipolar disorder. Which student statement demonstrates an understanding of the most critical challenge in the care of these clients?

1. Treatment is compromised when clients can't sleep.
2. Treatment is compromised when irritability interferes with social interactions.
3. Treatment is compromised when clients have no insight into their problems.
4. Treatment is compromised when clients choose not to take their medications.

Question 2

Which client statement reflects an understanding of circadian rhythms in psychopathology?

1. When I dream about my mother's horrible train accident, I become hysterical. 2. I get really irritable during my menstrual cycle.3. I'm a morning person. I get my best work done before noon.
4. Every February, I tend to experience periods of sadness.

Liddy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: The nursing student is accurate when stating that the most critical challenge in the care of clients diagnosed with bipolar disorder is that treatment is often compromised when clients choose not to take their medications. Clients diagnosed with bipolar disorder feel most productive and creative during manic episodes. This may lead to purposeful medication nonadherence. Symptoms of bipolar disorder will reemerge if medication is stopped.

Answer to Question 2

3
Rationale: By stating, I am a morning person, the client demonstrates an understanding that circadian rhythms may influence a variety of regulatory functions, including the sleep-wake cycle, regulation of body temperature, and patterns of activity. Most humans follow a 24-hour cycle that is largely affected by lightness and darkness.