Author Question: The nurse has determined that a client with a bipolar disorder has a nursing diagnosis of ... (Read 99 times)

crazycityslicker · **on:** Jun 25, 2018

The nurse has determined that a client with a bipolar disorder has a nursing diagnosis of hopelessness. Which therapeutic communication skill should the nurse use?

1. Encourage the client to engage in a social activity.
2. Arrange for the client to go on a group outing to the mall.
3. Sit quietly with the client and hold her hand.
4. Ask the client how she has overcome obstacles in the past.

Question 2

A client is seen in the emergency department complaining of sudden onset of a throbbing headache. The client is taking a monoamine oxidase inhibitor (MAOI), and admits to having eaten a lot of aged cheese recently.

The nurse should assess the client for which other symptoms?

1. Abdominal cramping
2. Hypotension
3. Stiff neck
4. Diaphoresis

jojobee318 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 4

1. This is not a therapeutic communication skill.
2. This is not a therapeutic communication skill.
3. Sitting with the client can be therapeutic, but doesn't offer specifics in dealing with the hopelessness.
4. Encouraging clients to identify some coping strategies and strengths help them to see that they have survived difficulties in the past.

Answer to Question 2

Answer: 3

1. Abdominal cramping is not a manifestation of a hypertensive crisis.
2. Hypotension is not associated with a hypertensive crisis.
3. The combination of tyramine-containing foods (aged cheese) and MAOIs can cause a hypertensive crisis, manifested by a throbbing headache, heart palpitations, hypertension, and a stiff neck.
4. Diaphoresis is not a manifestation of hypertensive crisis.