The nurse planning the care for an adolescent client experiencing ...

[BRWH]

The nurse planning the care for an adolescent client experiencing the manic phase of bipolar disorder would include which of the following interventions to address hallucinations?
 
  1. Discuss a homework assignment
   2. Keep isolated in a quiet room
   3. Encourage spending time with others
   4. Explain that hallucinations are not real

Question 2

The family of a 5-year-old is very upset because the client doesn't seem to know the family. The client has been admitted with pneumonia and has a high fever.
 
  When planning care for this family, the nurse would include which of the following teaching points to alleviate the family's stress? 1. Teach the family how to care for the child
   2. Teach the family that high fevers can cause delirium
   3. Tell the family the symptom will not last very long
   4. Have the family visit for short periods of time only

[bobsmith]

Answer to Question 1

4. Explain that hallucinations are not real

Rationale:
The adolescent client in the manic phase of bipolar disorder experiencing hallucinations should not be left alone in a quiet room but rather should be talked with and explained that the hallucinations are not real. The nurse should not discuss homework assignments or encourage the client to spend time with others. The hallucinations need to be addressed.

Answer to Question 2

2. Teach the family that high fevers can cause delirium

Rationale:
The nurse will want to explain that high fever can cause confusion in the child and that this symptom will abate when the fever returns to normal. Teaching the family how to care for the child will not necessarily decrease their anxiety. Telling the family the symptom will not last long is not helping them understand the nature of the symptom. Asking the family to visit for short periods will only heighten their anxiety.

[BRWH]

Thanks for the timely response, appreciate it

[bulacsom]

Excellent