Author Question: A loud, hyperverbal, hyperactive client admitted with bipolar disorder, manic phase, has been on the ... (Read 54 times)

pepyto · **on:** Jul 19, 2018

A loud, hyperverbal, hyperactive client admitted with bipolar disorder, manic phase, has been on the unit for 2 days. The other clients are planning their weekend activity when this client inter-rupts and insists that they change their plans to a disco pa

The client curses and becomes louder when the disco idea is rebuffed. The preferable nursing in-tervention would be to:
1. Ask the group to reconsider the suggestion
2. Tell the client to quiet down or leave the room
3. Accompany the client to a quieter place
4. Ignore the outburst because it is related to mania

Question 2

Which of the following principles should the nurse apply when planning nursing care for a client who was admitted after a suicide attempt?

1. Clients who attempt suicide and fail will not try again.
2. The more specific the plan, the greater the risk for suicide.
3. Clients who talk about suicide are less likely to attempt it.
4. Clients who attempt suicide and fail do not really want to die.

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

Answer to Question 1

ANS: 3
Escorting the client to a less stimulating environment will assist the client to remain in control of behavior. It is unlikely that the client would respond to verbal suggestions to go to her room un-accompanied. 1. This intervention does not address the client's behavior. 2. The client would probably perceive this as a threat that would further escalate the impending loss of control. 4. An intervention is called for if the client's behavior is to be deescalated.

Answer to Question 2

ANS: 2
Clients whose suicidal ideation includes a vague, diffuse plan or no plan at all are not at as high a risk for attempting suicide as an individual who has a well-developed plan and the means to carry it out. The nurse will need to continually reassess the client. 1. This is not true. Many clients at-tempt suicide more than once. 3. This is not true. Many suicidal individuals give verbal clues to their feelings and impending suicide attempts. 4. Many factors have an impact on the success or failure of a suicide attempt. This statement is a myth about suicide.