Author Question: The nursing diagnosis for a patient with mania is Imbalanced nutrition: less than body requirements ... (Read 83 times)

Wadzanai · **on:** Jul 19, 2018

The nursing diagnosis for a patient with mania is Imbalanced nutrition: less than body requirements related to caloric intake insufficient to balance with hyperactivity as evidenced by 5 lb weight loss in 4 days. Select the most appropriate outcome.

The patient will: a. reduce hyperactivity within 1 week.
b. drink four high-calorie, high-protein supplements per day.
c. consistently wear appropriate attire for age and sex within 1 week.
d. display consistently nonviolent behavior toward others within 1 week.

Question 2

Which statement about aggression would accurately serve as a basis for care planning?

a. Brain injury or disorders are often blamed for, but rarely contribute to, violence.
b. Some people are biologically predisposed to become irritated or angry more easily.
c. Aggression is an innate behavior rather than a learned response to frustration.
d. Mature persons with patterns of effective coping almost never behave violently.

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

Answer to Question 1

B
Outcomes should be measurable. High-calorie, high-protein food supplements will provide the additional calories needed to offset the patient's hyperactivity. Nursing interventions are directed toward the etiology. The other outcomes are related to other nursing diagnoses that might be established for a patient with mania.

Answer to Question 2

B
Research suggests that a number of abnormalities in brain and neurotransmitter function can contribute to increased likelihood of violent behavior; some persons do seem to be biologically predisposed to tolerate frustration less well and respond more readily with anger or rage responses. Brain injury or disorders such as cerebrovascular accidents, dementia, temporal lobe epilepsy, and tumors can lead to increased violent behavior as well. Research also supports a role for aggression as a learned response, whether from observing violent role models within one's family or community or through exposure to violence in the media. Persons who have otherwise not shown a pattern of violence can nonetheless behave violently when their normal coping abilities have been overwhelmed.