The nurse is caring for a female client with a diagnosis of ...

[SO00]

The nurse is caring for a female client with a diagnosis of severe bipolar disorder. Out of many treatment methods, the one treatment that the client and the team have found to be most effective is the medication lithium.
 
  The client voices concern about her future with this diagnosis. Which nurse response best represents the concept of hope? a. You need to take your lithium unless you want to relapse.
  b. You are doing so well that there is nothing you can't do if you put your mind to it.
  c. You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication.
  d. A lot of people are much worse off than you are, so you should be thankful that you are doing as well as you are.

Question 2

After studying the DSM-5 criteria for oppositional defiant disorder (ODD), which listed symptom would a student nurse recognize?
 
  1. Arguing and annoying older sibling over the past year
  2. Angry and resentful behavior over a three-month period
  3. Initiating physical fights for more than 18 months
  4. Arguing with authority figures for more than six months

[HandsomeMarc]

Answer to Question 1

C
This option is realistic and provides hope without providing false hope. Stating that the client will relapse if she discontinues medication suggests that the nurse is threatening the client, which provides no hope. Telling the client that there is nothing that you can't do may be providing false hope. Reminding the client that others are worse off is disregarding the client's feelings.

Answer to Question 2

4
Rationale: The DSM-5 rules out the diagnosis of ODD when only siblings are involved in argumentative interactions. Angry and resentful behavior over more than six months, not three months, would be considered a symptom of ODD. Initiating physical fights is a symptom of conduct disorder, not ODD. Arguing with authority figures for more than six months is listed by the DSM-5 as a symptom for the diagnosis of ODD.

[SO00]

Excellent

[helenmarkerine]

TYSM