a nurse is caring for a patient with bipolar disorder who is experiencing a manic episode which intervention is most appropriate
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ATI RN

ATI Mental Health Proctored Exam 2023 Quizlet

1. A healthcare professional is caring for a patient with bipolar disorder who is experiencing a manic episode. Which intervention is most appropriate?

Correct answer: B

Rationale: During a manic episode, individuals with bipolar disorder may have heightened sensitivity to stimuli and may struggle with organization and decision-making. Providing a structured environment with limited stimuli can help reduce triggers and maintain a sense of control for the patient. It is essential to create a calm and predictable setting to support the individual in managing their symptoms effectively. Choice A is incorrect as group activities may overwhelm the patient due to increased stimuli. Choice C is not the most appropriate because unstructured physical activities may exacerbate the manic symptoms. Choice D is not recommended as detailed and complex tasks can be overwhelming and may contribute to increased stress and agitation in a manic episode.

2. Which of the following is a hallmark symptom of generalized anxiety disorder (GAD)?

Correct answer: B

Rationale: Excessive worry is a hallmark symptom of generalized anxiety disorder (GAD). Individuals with GAD often experience persistent and excessive worry or anxiety about a variety of situations or activities, even when there is little or no reason to worry. This chronic worrying can significantly impact their daily functioning and quality of life, distinguishing it as a key feature of GAD. Flashbacks are more commonly associated with post-traumatic stress disorder (PTSD), not GAD. Hallucinations are not typically seen in GAD but may be present in conditions like schizophrenia. Compulsive behaviors are characteristic of obsessive-compulsive disorder (OCD), not GAD.

3. A nurse is caring for a client who has been diagnosed with schizoaffective disorder. The client states, 'I am the president of the United States.' Which of the following responses should the nurse make?

Correct answer: C

Rationale: The nurse should avoid challenging the client's delusions directly. Asking for more information can help the nurse understand the client's experience and build rapport.

4. During a mental health assessment on an adult client, which client action would demonstrate the highest achievement in terms of mental health according to Maslow's hierarchy of needs?

Correct answer: C

Rationale: In Maslow's hierarchy of needs, self-actualization is the highest level. Possessing a feeling of self-fulfillment and realizing full potential reflects self-actualization. This level represents achieving personal growth, self-improvement, and reaching one's full potential, indicating optimal mental health. Choices A, B, and D represent lower levels of needs according to Maslow's hierarchy. Maintaining a long-term relationship indicates belongingness and love needs, achieving self-confidence pertains to esteem needs, and developing a sense of purpose relates to self-esteem and self-actualization needs, but they are not at the pinnacle of self-actualization as in choice C.

5. Which of the following interventions should not be implemented for a client with anorexia nervosa?

Correct answer: C

Rationale: Interventions for a client with anorexia nervosa should focus on monitoring daily caloric intake and weight, establishing a structured eating plan, providing liquid supplements as prescribed, and offering rewards for weight gain. Encouraging exercise is not recommended as it can worsen the condition by increasing energy expenditure and potentially reinforcing unhealthy behaviors associated with anorexia nervosa.

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