Author Question: The nurse suspects a client is at risk for experiencing bipolar disorder when which of the following ... (Read 74 times)

Yi-Chen · **on:** Jul 22, 2018

The nurse suspects a client is at risk for experiencing bipolar disorder when which of the following is assessed?

1. Blood pressure 120/80 mmHg
2. Currently employed
3. Works out at the gym every week
4. Mother diagnosed with bipolar disorder

Question 2

An elderly client was given a nursing diagnosis of risk for injury related to disorientation. Which statement would the nurse use as appropriate for an expected outcome? The client:

1. Maintains continence on four out of five voidings.
2. Does not become lost or sustain injury during wanderings.
3. Sleeps through the night and stays awake most of the day.
4. Receives appropriate care consistent with his or her specific values and expected outcomes.

mceravolo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Mother diagnosed with bipolar disorder

Rationale:
Bipolar disorders typically appear between the ages of 15 and 30. Risk factors include a family history of bipolar disorders, drug abuse, periods of very high stress, and a major life-altering event. Women and men are at equal risk of having bipolar disorders. A blood pressure of 120/80 mmHG does not put a client at risk for bipolar disorders. Being employed and working out regularly are not risk factors for bipolar disorders.

Answer to Question 2

2. Does not become lost or sustain injury during wanderings.

Rationale:
The client does not become lost or sustain injury during wanderings is the correct answer because it relates to the diagnosis and is measurable. The client maintains continence on four out of five voiding is an incorrect answer because it does not relate to the diagnosis. The client sleeps through the night and stays awake most of the day is an incorrect answer because it does not relate to the diagnosis. The client receives appropriate care consistent with his or her specific values and expected outcomes is an incorrect answer because expected outcomes are unknown and not measurable.