Author Question: A client displaying behaviors consistent with acute mania approaches the nurse, waves a newspaper, ... (Read 106 times)

newyorker26 · **on:** Jul 19, 2018

A client displaying behaviors consistent with acute mania approaches the nurse, waves a newspaper,
and says I need to make a phone call right this minute. I need to call this department store while
their sale is going on.

I am going to order 10 dresses and four pairs of shoes.. The most appropriate
intervention would be for the nurse to
a. tell the client she is not allowed to use the phone until she is in better control.
b. suggest the client have someone shop for her and bring purchases to the unit.
c. ask whether the client has enough money to pay for the purchases.
d. invite the client to go to her room to see a new fashion magazine.

Question 2

A nurse makes the assessment that the client demonstrates anxiety and a number of responses
consistent with sympathetic nervous system stimulation. The nurse would suspect the presence of a
high concentration of brain

a. GABA.
b. histamine.
c. acetylcholine.
d. norepinephrine.

javimendoza7 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Situations such as this offer an opportunity to use the client's distractibility to staff's advantage.
Clients become frustrated when staff deny requests (option A) that the client sees as entirely
reasonable. Distracting the client can avoid power struggles. Option B would not satisfy the client's
need for immediacy and would ultimately result in the extravagant expenditure. Option C would
likely precipitate an angry response.

Answer to Question 2

ANS: D
Norepinephrine is the neurotransmitter associated with sympathetic nervous system stimulation,
preparing the individual for fight or flight.. Option A: GABA is a mediator of anxiety level. Option
B: A high concentration of histamine is associated with an inflammatory response. Option C: A high
concentration of acetylcholine is associated with parasympathetic nervous system stimulation.