NUR 211 Exam 2 - nurse find in the client? Select all that apply...

NUR 211 Exam 2

• The nurse is caring for a client who is diagnosed with hypomania. Which behavior does the

nurse find in the client? Select all that apply.

• The client is cheerful and expansive with an underlying irritability.
• The client shows extreme fluctuating emotions.
• The client tries to maintain a close friendship with the nurse.
• The client neglects personal hygiene and grooming.

-The client talks and laughs very loudly while communicating with the nurse.

Answer

• The client is cheerful and expansive with an underlying irritability.
• The client talks and laughs very loudly while communicating with the nurse.

• The parent of an adolescent client says, "My child keeps talking about calling the U.S.

president to give him suggestions." The nurse also finds that the client has increased libido.Which does the nurse interpret from these findings?

• The client is experiencing psychosis.
• The client is experiencing hypomania.
• The client is experiencing acute mania.
• The client is experiencing delirious mania.

Answer

• The client is experiencing hypo- mania.

• The nurse is caring for a client with mania who is on lithium carbonate therapy. The nurse

monitors the client's skin turgor daily. Which sign or symptom observed in the client supports this nursing intervention?

• Polyuria
• Dizziness
• Dry mouth
• Dehydration

Answer Dehydration

• At which age would the nurse expect to begin documenting manic episodes in a client

diagnosed with bipolar disorder?

- 19 1 / 2

• 21
• 23
• 25

Answer

• 25

• Which statement made by the registered nurse regarding bipolar disorder is true?

• "Bipolar disorder tends to occur among those in lower socioeconomic groups."
• "The onset of bipolar disorder is around age 40."
• "Bipolar is the third leading cause of disability in the middle-age group."
• "Bipolar is completely treatable, but many individuals go years without a diagnosis."

Answer

• "Bipolar is completely treatable, but many individuals go years without a diagnosis."

• A client with mania reports an inability to sleep. Which appropriate actions does the nurse

take to promote sleep? Select all that apply.

• Provide a low-protein diet
• Administer sedative agents as prescribed
• Reduce lighting in the room
• Provide tea or coffee before sleep
• Help perform relaxation exercises before sleep

Answer

• Administer sedative agents as prescribed

• Reduce lighting in the room

• Help perform relaxation exercises before sleep

• A client with bipolar disorder is at high risk of self-harm. The nurse finds that the client

perceives actions of others as threatening. Which actions does the nurse take to ensure the safety of this client? Select all that apply.

• Uses mechanical restraints
• Removes dangerous objects from the client's room
• Provides additional care by adding new staff
• Maintains low level of stimuli in the client environment
• Notifies the primary health-care provider
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