A nurse is seeing a patient for individual treatment who has been ...

[bobypop]

A nurse is seeing a patient for individual treatment who has been diagnosed with bipolar disorder. Although the patient has been compliant with prescribed medications, the patient is experiencing an increase in symptoms, including disturbed sleep patterns
 
  hyperactivity, increased credit card use, and grandiose statements. What treatment option might the nurse consider?
  1. Family education
  2. Peer support group
  3. In-patient hospitalization
  4. Partial hospitalization program (PHP)

Question 2

A nurse is providing services in a day rehabilitation program. A patient in the program who has a diagnosis of schizophrenia is struggling with weight gain from his medications and managing his mental illness.
 
  He is also lonely and finds it difficult to relax. Following best practices, what are some topics that would be included in a group education program that could be useful for this patient? Select all that apply.
  1. Coping with stress
  2. Finding useful employment
  3. Learning recovery strategies
  4. Using medications effectively
  5. Building social support

[laurnthompson]

Answer to Question 1

Answer: 4
Explanation: PHPs are often used to support an individual's mastery over acute symptoms and serve as an alternative to a psychiatric hospitalization. Family education and peer support groups are useful adjuncts to individual treatment but do not address the individual's symptom exacerbation. When a partial hospitalization program is available, inpatient hospitalization may be avoided, if the patient does not present a danger to his or herself or others.

Answer to Question 2

Answer: 1, 3, 4, 5
Explanation: Nine topics typically covered in the Illness Management and Recovery (IMR) best-practice model include: learning recovery strategies; practical facts about mental illness; stress vulnerability model and treatment strategies; building social support and reducing relapses; using medications effectively; coping with stress; coping with problems and symptoms; meeting one's needs in the mental health service system; addressing drug and alcohol use. Finding employment is not a standard part of this protocol.

[bobypop]

Thanks for the timely response, appreciate it

[ryansturges]

Excellent