Which nursing diagnosis would most likely apply to both a patient ...

[deesands]

Which nursing diagnosis would most likely apply to both a patient with depression and one with acute mania?
 
  a. Deficient diversional activity
  b. Disturbed sleep pattern
  c. Fluid volume excess
  d. Defensive coping

Question 2

A patient with acute mania waves a newspaper and says, I must have my credit card and use the computer right now. A store is having a big sale and I need to order 10 dresses and four pairs of shoes. Select the nurse's most appropriate intervention.
 
  a. Suggest to the patient to have a friend do the shopping and bring purchases to the unit.
  b. Invite the patient to sit with the nurse and look at new fashion magazines.
  c. Tell the patient that computer use is not allowed until self-control improves.
  d. Ask whether the patient has enough money to pay for the purchases.

[jsm54321]

Answer to Question 1

ANS: B
Patients with mood disorders, both depression and mania, experience sleep pattern disturbances. Assessment data should be routinely gathered about this possible problem. Deficient diversional activity is more relevant for patients with depression. Defensive coping is more relevant for patients with mania. Fluid volume excess is less relevant for patients with mood disorders than is deficient fluid volume.

Answer to Question 2

ANS: B
Situations such as this offer an opportunity to use the patient's distractibility to the staff's advantage. Patients become frustrated when staff members deny requests that the patient sees as entirely reasonable. Distracting the patient can avoid power struggles. Suggesting that a friend do the shopping would not satisfy the patient's need for immediacy and would ultimately result in the extravagant expenditure. Asking whether the patient has enough money would likely precipitate an angry response.