Author Question: A male client displaying acute mania has disrobed in the hall three times in 2 hours. The nurse ... (Read 83 times)

kwoodring · **on:** Jul 19, 2018

A male client displaying acute mania has disrobed in the hall three times in 2 hours. The nurse
should

a. direct the client to wear his clothes at all times.
b. ask if the client finds the clothes bothersome.
c. tell the client he is embarrassing the women.
d. arrange for one-on-one supervision.

Question 2

A nurse can anticipate that anticholinergic side effects may occur when a client is taking

a. lithium.
b. risperidone.
c. buspirone.
d. fluphenazine.

deja · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
A client who repeatedly disrobes despite verbal limit setting needs more structure. One-on-one
supervision may provide the necessary structure. Option A has not proven successful. Option B
serves no purpose. Option C will not make a difference to the client whose grasp of social behaviors
is impaired by the illness.

Answer to Question 2

ANS: D
Fluphenazine, a first-generation antipsychotic, exerts muscarinic blockade, resulting in dry mouth,
blurred vision, constipation, and urinary retention. Option A: Lithium therapy is more often
associated with fluid balance problems, including polydipsia, polyuria, and edema. Option B:
Risperidone therapy is more often associated with movement disorders, orthostatic hypotension, and
sedation. Option C: Buspirone is associated with anxiety reduction without major side effects.