a nurse is caring for a client who has been diagnosed with bipolar disorder and is experiencing a manic episode which of the following actions should

ATI RN

ATI Mental Health Practice B

1. A client diagnosed with bipolar disorder is experiencing a manic episode. Which of the following actions should the nurse take first?

A. Encourage the client to participate in group therapy.
B. Place the client in a private room to decrease stimulation.
C. Encourage the client to participate in physical activity.
D. Administer a prescribed sedative.

Correct answer: B

Rationale: During a manic episode, individuals with bipolar disorder may be easily overstimulated. Placing the client in a private room to decrease environmental stimuli is the priority intervention. This action can help reduce the risk of exacerbating manic symptoms and promote a calmer environment for the client. Choice A is not the priority as group therapy may be overwhelming during a manic episode. Choice C could potentially increase stimulation rather than decrease it. Choice D should not be the first action as sedatives are generally not the initial intervention for managing manic episodes.

2. What assessment question will provide information to the healthcare provider regarding the effects of a woman's circadian rhythms on her quality of life?

A. How much sleep do you usually get each night?
B. Does your heart ever seem to skip a beat?
C. When was the last time you had a fever?
D. Do you have problems urinating?

Correct answer: A

Rationale: The correct assessment question to understand the effects of a woman's circadian rhythms on her quality of life is to inquire about her sleep duration. Circadian rhythms significantly influence sleep patterns, so knowing how much sleep she usually gets each night can provide valuable insight into potential circadian rhythm disturbances and their impact on her overall well-being.

3. Which statement demonstrates a well-structured attempt at limit setting?

A. Hitting me when you are angry is unacceptable.
B. I expect you to behave yourself during dinner.
C. Come here, right now!
D. Good boys don't bite.

Correct answer: A

Rationale: Choice A, 'Hitting me when you are angry is unacceptable,' demonstrates a well-structured attempt at limit setting because it clearly defines the unacceptable behavior without ambiguity. This statement sets a clear boundary and clearly communicates the consequence for the behavior. In contrast, choices B, C, and D are less effective in setting limits as they are either vague expectations or commands without specific consequences for crossing the limit.

4. A client diagnosed with panic disorder is receiving discharge teaching from a healthcare provider. Which statement by the client indicates an accurate understanding of the teaching?

A. I should avoid caffeine and other stimulants.
B. I should take my medication only when I feel anxious.
C. I should use relaxation techniques to manage anxiety.
D. I should avoid exercising to prevent triggering anxiety.

Correct answer: A

Rationale: The correct answer is A. Avoiding caffeine and other stimulants is crucial for clients with panic disorder as these substances can exacerbate anxiety symptoms. Caffeine can trigger or worsen anxiety, leading to increased heart rate and restlessness. By eliminating stimulants, the client can better manage their anxiety levels and reduce the risk of panic attacks. Choices B, C, and D are incorrect because taking medication only when feeling anxious may lead to inconsistent treatment, using relaxation techniques alone may not be sufficient for managing panic disorder, and avoiding exercise can actually be counterproductive as regular physical activity can help reduce anxiety and stress levels.

5. Which medication is commonly prescribed for the treatment of panic disorder?

A. Haloperidol
B. Clonazepam
C. Lithium
D. Fluoxetine

Correct answer: B

Rationale: Clonazepam, a benzodiazepine, is commonly prescribed for the treatment of panic disorder due to its anxiolytic properties. It helps reduce the frequency and intensity of panic attacks by acting on the central nervous system to produce a calming effect. Haloperidol is an antipsychotic medication, lithium is primarily used for bipolar disorder, and fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used for depression and some anxiety disorders, but not as a first-line treatment for panic disorder.