Author Question: A patient tells the nurse, I'm ashamed of being bipolar. When I'm manic, my behavior embarrasses ... (Read 77 times)

danielfitts88 · **on:** Jul 19, 2018

A patient tells the nurse, I'm ashamed of being bipolar. When I'm manic, my behavior embarrasses everyone. Even if I take my medication, there are no guarantees. I'm a burden to my family. These statements support which nursing diagnoses?

Select all that apply.

a. Powerlessness
b. Defensive coping
c. Chronic low self-esteem
d. Impaired social interaction
e. Risk-prone health behavior

Question 2

Which suggestions are appropriate for the family of a patient diagnosed with bipolar disorder who is being treated as an outpatient during a hypomanic episode? Select all that apply.

a. Limit credit card access.
b. Provide a structured environment.
c. Encourage group social interaction.
d. Suggest limiting work to half-days.
e. Monitor the patient's sleep patterns.

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

Answer to Question 1

ANS: A, C
Chronic low self-esteem and powerlessness are interwoven in the patient's statements. No data support the other diagnoses.

Answer to Question 2

ANS: A, B, E
A patient with hypomania is expansive, grandiose, and labile; uses poor judgment; spends inappropriately; and is over-stimulated by a busy environment. Providing structure would help the patient maintain appropriate behavior. Financial irresponsibility may be avoided by limiting access to cash and credit cards. Continued decline in sleep patterns may indicate the condition has evolved to full mania. Group socialization should be kept to a minimum to reduce stimulation. A full leave of absence from work will be necessary to limit stimuli and prevent problems associated with poor judgment and inappropriate decision making that accompany hypomania.