A client with bipolar disorder is commanding another client to ...

[corkyiscool3328]

A client with bipolar disorder is commanding another client to Get me that book; take this other
  stuff out of here, and so forth. The nurse wants to interrupt this behavior without entering into a
  power struggle with the client.
 
  The best approach would be to use
  a. humor: How much are you paying servants these days?
  b. distraction: Let's go to the dining room for a snack..
  c. limit setting: You must stop ordering other clients around..
  d. honest feedback: Your behavior is annoying other clients..

Question 2

From a cognitive perspective, the characteristic the nurse is most likely to assess in a client with an
  eating disorder is
 
  a. carefree flexibility.
  b. open displays of emotion.
  c. rigidity, perfectionism.
  d. high spirits and optimism.

[LP]

Answer to Question 1

B
The distractibility characteristic of manic episodes can assist the nurse to direct the client toward
more appropriate, constructive activities without entering into power struggles. Humor usually
backfires by either encouraging the client or inciting anger. Limit setting and honest feedback may
seem heavy handed to a labile client and may incite anger.

Answer to Question 2

C
Rigid thinking, inability to demonstrate flexibility, and difficulty changing cognitions are
characteristic of clients with eating disorders. Each of the other options is rarely seen in a client with
an eating disorder, for which inflexibility, controlled emotions, and pessimism are more the rule.