D-Visiting every other day while encouraging the patient to talk while the nurse is working on reports is the best strategy because it is not restrictive or coercing to the patient. The patient would not feel threatened by the nurse and the nurse would not be avoiding contact with the patient.
C-The patient showing initiative would be an appropriate outcome because lack of initiative and motivation is a major cause of dysfunctional behavior. In addition, the patient shows awareness of the need for self-care, which is a good sign.
C-SSRIs have been associated with increased suicidal ideation in some patients, hence it is advisable to provide this patient teaching information.
D-The patient may not be aware of their behavior or of their delusions. Therefore, the nurse should respond in a manner that would help her assess the cause of the behavior and at the same time would not escalate the situation.
A-Making observations about neutral topics increases the chances of the nurse building rapport with the patient.
D-Providing the patient with leadership roles might help to alleviate feelings of helplessness and worthlessness.
C-It is important that the patient continues with the treatment plan as designed by the doctor and not prematurely stop medication, even though their mood may have stabilized.
C-The symptoms fit neuroleptic malignant syndrome.
B-Genetic factors account for a significant cause of bipolar disorder.
D-Excessive hand-washing is indicative of anxiety about germs.
B-The reaction of the nurse should not be restrictive, threatening, or coercive.
A-Thorazine has been used for many years for the treatment of schizophrenia.
C-The patient is not socially withdrawn and they had normal sleep duration.
14. C-The patient should confer with a pharmacist when taking over-the-counter drugs.
15. D-Positive self-talk techniques may help the patient to get over the irrational fear.
16. B-Zyprexa has been shown to be effective in preventing manic relapse.
17. B-Offering to help the client may get them to initiate a process of getting rid of the anxiety.
18. D-The patient is experiencing a relapse, perhaps due to discontinuation of treatment.
19. C-These symptoms are indicative of lithium toxicity.
20. C-Immediately after electroconvulsive treatment, patients may be confused or disoriented for a few minutes or hours.
21. A-Monitoring the patient’s physiological functioning is important in order to know when to intervene.
22. D-This response is the most appropriate since it does not restrict the patient but rather gives them a sense of control.
23. B-The symptoms are indicative of body dysmorphic disorder.
24. A-Passivity can be alleviated through interaction with others.
25.D-The symptoms are caused by discontinuation of treatment and the patient should see a physician.
References
Goldberg, J. F., & Burdick, K. (2009). Cognitive Dysfunction in Bipolar Disorder: A Guide for Clinicians. Virginia, U.S: American Psychiatric Pub.
