Author Question: A person was directing traffic on a busy street, rapidly shouting, To work, you jerk, for perks and ... (Read 53 times)

Haya94 · **on:** Jul 19, 2018

A person was directing traffic on a busy street, rapidly shouting, To work, you jerk, for perks and making obscene gestures at cars. The person has not slept or eaten for 3 days.

Which assessment findings will have priority concern for this patient's plan of care?

a. Insulting, aggressive behavior
b. Pressured speech and grandiosity
c. Hyperactivity; not eating and sleeping
d. Poor concentration and decision making

Question 2

A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves. The patient twirls and shadow boxes. The patient says gaily, Do you like my scarves? Here; they are my gift to you.

How should the nurse document the patient's mood?

a. Euphoric
b. Irritable
c. Suspicious
d. Confident

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

Answer to Question 1

ANS: C
Hyperactivity, poor nutrition, hydration, and not sleeping take priority in terms of the needs listed above because they threaten the physical integrity of the patient. The other behaviors are less threatening to the patient's life.

Answer to Question 2

ANS: A
The patient has demonstrated clang associations and pleasant, happy behavior. Excessive happiness indicates euphoria. Irritability, belligerence, excessive happiness, and confidence are not the best terms for the patient's mood. Suspiciousness is not evident.