Author Question: A client displaying acute mania undresses in the day room and dances about. The best intervention ... (Read 63 times)

@Brianna17

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A client displaying acute mania undresses in the day room and dances about. The best intervention
  would be to
 
  a. quietly ask the client Why don't you put your clothes on?
  b. tell the client firmly to Stop dancing and put on your clothing..
  c. let the client stay in the day room and move the other clients to a recreation area.
  d. put a blanket around the client and, with several staff, walk with the client to her
  room.

Question 2

A client taking medication for his mental illness develops a profound sense of restlessness and an
  uncontrollable need to be in motion. The nurse can correctly hypothesize that these symptoms are
  related to the drug's
 
  a. dopamine-blocking effects.
  b. anticholinergic effects.
  c. endocrine-stimulating effects.
  d. ability to stimulate spinal nerves.



whitcassie

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Answer to Question 1

D
Clients must be protected from the embarrassing consequences of their poor judgment whenever
possible. Protecting the client from public exposure by matter-of-factly covering the client and
removing her from the area with a sufficient number of staff to avoid argument and provide control
is an effective approach.

Answer to Question 2

ANS: A
Medication that blocks dopamine is often seen to produce disturbances of movement such as
akathisia because dopamine affects neurons involved in both thought processes and movement
regulation. Option B: Anticholinergic effects include dry mouth, blurred vision, urinary retention,
and constipation. Options C and D: Akathisia is not caused by endocrine stimulation or spinal nerve
stimulation.



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