Which of the following symptoms would a nurse most expect to ...

[kaid0807]

Which of the following symptoms would a nurse most expect to identify when assessing a client with bipolar disorder who is in the manic phase?
 
  1. Hallucinations
  2. Napping throughout the day
  3. Thoughts of inferiority
  4. Pressured speech

Question 2

The nurse is caring for a client with bipolar disorder who is experiencing a manic episode. To assist the client in reducing the hyperactive behavior, what should the nurse do?
 
  1. Engage the client in a quiet game of cards or puzzle solving.
  2. Allow the client to set her own limits on behavior.
  3. Provide a calm, quiet area for the client to sit or walk around in.
  4. Encourage the client to get involved in a game of volleyball.

[kishoreddi]

Answer to Question 1

Answer: 4

1. Hallucinations are seen more in people with psychoses and schizophrenia.
2. Mania is characterized by a decreased need to sleep.
3. Mania is characterized by an inflated self-esteem, and grandiosity.
4. During the manic phase, clients are very talkative and express pressure to keep talking.

Answer to Question 2

Answer: 3

1. Cards and puzzles require concentration, which is difficult for the manic person to do and can actually increase agitation.
2. People in a manic state are unable to safely set their own limits.
3. Providing a calm, quiet environment reduces excessive stimuli and helps the client to be less hyperactive.
4. Playing volleyball would probably cause more stimulation.