A client is treated in the emergency department for injuries ...

[saraeharris]

A client is treated in the emergency department for injuries received after running through thick brush in the woods.
 
  The client relates being followed by a large man in dark clothing. A witness to this event claims there was no one chasing the client into the woods. Which item should the nurse further assess this client for based on the information provided?
  1. A list of current prescription medications
  2. Symptoms of depression
  3. Family members' interpretation of the event
  4. Whether the client might require restraints

Question 2

The nurse is concerned that a client is moving into the manic phase of bipolar disorder when what is assessed?
 
  Standard Text: Select all that apply.
  1. Not sleeping
  2. Losing weight
  3. Sluggish activity
  4. Complaints of muscle pain
  5. Constant talking

[frejo]

Answer to Question 1

Correct Answer: 1
Rationale 1: Reviewing a list of current medications might help to determine whether the client is being treated for a psychosis.
Rationale 2: There is nothing in the scenario that indicates the client needs screening for depression.
Rationale 3: Family members may or may not have witnessed the event.
Rationale 4: There is nothing in the scenario that indicates the client needs restraining devices.
Global Rationale: Reviewing a list of current medications might help to determine whether the client is being treated for a psychosis. There is nothing in the scenario that indicates the client needs screening for depression. Family members may or may not have witnessed the event. There is nothing in the scenario that indicates the client needs restraining devices.

Answer to Question 2

Correct Answer: 1,2,5
Rationale 1: Decreased need for sleep is a symptom of the manic phase of bipolar disorder.
Rationale 2: Decreased need for food is a symptom of the manic phase of bipolar disorder.
Rationale 3: Sluggish activity is not a symptom of the manic phase of bipolar disorder.
Rationale 4: Complaints of muscle pain are not a symptom of the manic phase of bipolar disorder.
Rationale 5: Increased talkativeness is a symptom of the manic phase of bipolar disorder.
Global Rationale: Decreased need for sleep, decreased need for food, and increased talkativeness are symptoms of the manic phase of bipolar disorder. Sluggish activity and complaints of muscle pain are not symptoms of the manic phase of bipolar disorder.

[saraeharris]

Both answers were spot on, thank you once again

[frejo]

Great! Please up vote