This topic contains a solution. Click here to go to the answer

Author Question: A patient with bipolar disorder is hyperactive after discontinuing lithium and has not slept for 3 ... (Read 69 times)

nmorano1

  • Hero Member
  • *****
  • Posts: 598
A patient with bipolar disorder is hyperactive after discontinuing lithium and has not slept for 3 days. The patient threatens to hit another patient. Which comment by the nurse is appropriate?
 
  a. Stop that No one did anything to provoke an attack by you.
  b. If you do that one more time, you will be secluded immediately.
  c. Do not hit anyone. If you are unable to control yourself, we will help you.
  d. You know we will not let you hit anyone. Why do you continue this behavior?

Question 2

A person is directing traffic on a busy street and rapidly shouting, To work, you jerk, for perks, and making obscene gestures at cars.
 
  The person has not slept or eaten for 3 days. Which assessment findings will have priority concern for this patient's plan of care?
 
  a. Insulting, provocative behavior
  b. Pressured speech and grandiosity
  c. Hyperactivity; not eating and sleeping
  d. Poor concentration and decision making



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

carojassy25

  • Sr. Member
  • ****
  • Posts: 299
Answer to Question 1

ANS: C
When the patient is unable to control his or her behavior and violates or threatens to violate the rights of others, limits must be set in an effort to de-escalate the situation. Limits should be set in simple, concrete terms. The first response does not offer appropriate assistance to the patient. The second response threatens the patient with seclusion as punishment. The fourth response asks a rhetorical question.

Answer to Question 2

ANS: C
Hyperactivity, poor nutrition, hydration, and not sleeping take priority in terms of the needs listed because they threaten the physical integrity of the patient. The other behaviors are less threatening to the patient's life.




nmorano1

  • Member
  • Posts: 598
Reply 2 on: Jul 19, 2018
Wow, this really help


at

  • Member
  • Posts: 359
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

For a complete list of videos, visit our video library