A priority nursing intervention for a client with bipolar mania ...

[geoffrey]

A priority nursing intervention for a client with bipolar mania who has difficulty sleeping is to:
 
  1. Have the night nurse talk with the client.
  2. Encourage long naps during the day.
  3. Administer PRN zolpidem tartrate (Ambien).
  4. Provide strenuous exercise prior to bedtime.

Question 2

When working with sibling abuse victim, the nurse should recognize that:
 
  1. Most adults were victims of sibling abuse.
  2. 40 of all child homicides are caused by sibling abuse.
  3. Parents recognize and condone physical confrontation.
  4. Hitting increases the probability of violence.

[Anonymous]

Answer to Question 1

3
Rationale: Administering PRN zolpidem tartrate (Ambien) does not suppress REM sleep and is effective for sleep. Sleep should be encouraged because sleep deprivation may enhance mood disorder symptoms. Having the night nurse talk with the client does not encourage the client to rest. Sleeping during the day interferes with establishing a regular sleep pattern at night. Providing strenuous exercise prior to bedtime promotes stimulation rather than relaxation.

Answer to Question 2

4
Rationale: Children who are hit by their parents exhibit more than double the rate of violence against siblings than children whose parents do not hit them. Hitting children increases the probability that they will be violent. Parents should not be complacent about sibling aggression; siblings cause 3 of all child homicides in the United States. Most adults in a position to know about violent confrontations and relationships (parents, faculty, police, medically trained personnel) have an awareness of sibling and peer violence that is very low.

[geoffrey]

Gracias!

[Animal_Goddess]

Excellent