Author Question: A client with a bipolar disorder arrives at the emergency department disheveled, arguing with family ... (Read 111 times)

j.rubin · **on:** Jun 25, 2018

A client with a bipolar disorder arrives at the emergency department disheveled, arguing with family members. The nurse recognizes that the family is suffering from an objective family burden.

To which is this burden related?
A) The client's symptomatic behaviors
B) Family conflict
C) Anger
D) Caregiving problems

Question 2

The nurse sees a client crying after being dropped off for a clinic appointment. The client states, I am a burden to my entire family now that I cannot drive.

Based on this data, which does the nurse include in the client's plan of care?
A) Risk for depression
B) Risk for cardiac disease
C) Risk for situational depression
D) Risk for bipolar disorder

hramirez205 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The objective family burden is related to the actual, identifiable family problems associated with an individual's mental illness. One burden the family must manage relates to symptomatic behaviors. Deficit behaviors of their loved ones-such as lack of motivation, difficulty in completing tasks, isolation from others, inability to manage money, poor grooming and personal care, and poor eating and sleeping behavior-can be of great concern to families. Intrusive or acting-out behaviors-such as lack of consideration for others, excessive arguing, conflicts with neighbors and friends, damaging material possessions, inappropriate sexual behavior, suicide attempts, substance abuse, and violent outbursts-are very disturbing to family members. The family may be experiencing caregiving problems, fear, or family conflict, but these arise from the client's symptomatic behaviors.

Answer to Question 2

Answer: C

The client is experiencing a loss of independence with the inability to drive. This loss is causing tension between the client and daughter, and the client feels like a burden. This situation places the client at risk for the development of situational depression. The client is not demonstrating signs of bipolar disorder or depression. This type of situation is not linked to the development of cardiac disease.