Author Question: A nurse is working with a family whose child has bipolar disorder. Which item is the most ... (Read 59 times)

NguyenJ · **on:** Jun 28, 2018

A nurse is working with a family whose child has bipolar disorder. Which item is the most appropriate for the nurse to including in the teaching session for this child and family?

A.
Ensure the child follows all house rules; do not give in.
B.
Instruct family that if mania is uncontrollable, hospitalization is required.
C.
Protect younger children from sexually aggressive behaviors.
D.
Provide routine and structure and appropriate freedom.

Question 2

A child diagnosed with depression is given the nursing diagnosis of situational low self-esteem. Which statement by the child indicates that a short-term goal has been met?

A.
I have to sleep a lot when I feel sad, sometimes until noon
B.
I wish I didn't make so many mistakes in my homework.
C.
My mom makes me special cookies when I am feeling sad.
D.
When I was feeling bad, I remembered my great science project.

iman · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
In bipolar disorder, structure and routine are important. The child can be allowed freedoms as appropriate and within limits. Prioritizing battles is also important; the nurse should not encourage rigidity in the parents. While hypersexualized behavior can be apparent, patients with bipolar disorder are not necessarily sexually aggressive. Hospitalization may be required briefly in extreme cases.

Answer to Question 2

ANS: D
One important goal for the child with situational low self-esteem is to have the child engage in positive self-talk. Remembering a great project is a good way to highlight the child's abilities in his or her own mind. The other statements do not indicate movement toward resolution of this diagnosis.