A 33-year-old female admitted with bipolar disorder, manic phase, ...

[rachel9]

A 33-year-old female admitted with bipolar disorder, manic phase, is loud, garishly dressed, hy-perverbal, and hyperactive. Which of the principles should the nurse apply when planning care?
 
  1. Manic clients respond well to peer pressure.
  2. Decreasing stimulation tends to diminish symptoms.
  3. Increasing stimulation tends to focus the client.
  4. Detailed activities will help the client control behavior.

Question 2

The nurse caring for an extremely withdrawn client with depression wishes to assist her to be-come more interactive. The best approach would be:
 
  1. I know you'll feel better if you leave your room. Everyone does.
  2. You look so gloomy. Would you prefer to be left alone?
  3. I need another person for a card game. Please come be my partner.
  4. Let's explore how it feels to sit alone here all day and feel sad.

[ngr69]

Answer to Question 1

ANS: 4
The only statement that is a valid principle is option 4. The other statements are inaccurate.

Answer to Question 2

ANS: 3
This direct approach invites the client to participate in a kind, but firm manner. The client is not given an option to simply say yes or no. 1. This statement gives false reassurance. 2. This ap-proach does not foster social interaction. 4. It is important to avoid focusing so intensively on negative thoughts and feelings.