A client in the manic phase of bipolar disorder will not sit down ...

[aabwk4]

A client in the manic phase of bipolar disorder will not sit down to eat. Which can the nurse do to ensure adequate nutrition and improved self-care of this client?
 
  Select all that apply.
  A) Provide a sedative before meals.
  B) Discuss finger-food options with the dietitian.
  C) Use a jacket restraint at meal times.
  D) Ask the healthcare provider if intravenous feedings would be applicable.
  E) Provide frequent nutritious snacks.

Question 2

An older adult client whose spouse died 6 months ago tells the nurse stories about the deceased spouse.
 
  When care has been completed, the client thanks the nurse for listening and states, My children will not listen to these stories. From which type of care would this client benefit?
  A) Antidepressant medication
  B) Group therapy
  C) Individual therapy
  D) Psychotherapy

[softEldritch]

Answer to Question 1

Answer: B, E

The client who is unable to sit down and eat is most likely to consume frequent small snacks that can be eaten on the go. The nurse should discuss with a dietitian to ensure that high-calorie finger foods and nutritious liquids are available on the nursing unit until the client is able to attend regular meals. Sedating, restraining, and providing intravenous therapy are not appropriate interventions and should not be done.

Answer to Question 2

Answer: C

Treatment of grief in older adults can be successful without medications. Group therapies can be quite effective, as they can be a means of support that the individual may be lacking, as well as a place where the client can discuss any concerns in a judgment-free setting. This type of therapy can also be particularly helpful as it introduces the client to other individuals who have experienced the same loss, and who may be having similar grief responses. For some clients, depending on their personality and preferences, group therapy may not be a good option, but individual therapy may be helpful. Complicated grief is generally treated with a form of psychotherapy called Complicated Grief Treatment, which treats the symptoms of complicated grief while helping the client to move through the grieving process. This client is not demonstrating signs of complicated grief.

[aabwk4]

Excellent

[sarah_brady415]

TYSM