A nurse is assessing a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting excessive spending and rapid speech. Which of the following is the priority nursing intervention?

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Behavioral Nursing Questions Questions

Question 1 of 5

A nurse is assessing a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting excessive spending and rapid speech. Which of the following is the priority nursing intervention?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A patient reports, 'I am overwhelmed by stress.' Which question by the nurse would be most important to use in the initial assessment of this patient?

Correct Answer: C

Rationale: The most important data to collect during an initial assessment is that which reflects how stress is affecting the patient and how he is coping with stress at present. This data would indicate whether or not his distress is placing him in danger (e.g., by elevating his blood pressure dangerously or via maladaptive responses, such as drinking) and would help the nurse understand how he copes and how well his coping strategies and resources serve him. Of the choices presented, the highest priority would be to determine what he is doing to cope at present, preferably via an open-ended inquiry. Family history, the extent of his use of exercise, and how much sleep he is getting are all helpful but seek data that is less of a priority. Also, the manner in which such data is sought here is likely to provide only brief responses (e.g., how much sleep he got on one particular night is probably less important than how much he is sleeping in general).

Question 3 of 5

A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and concerns. What is the rationale for this intervention?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A student says, 'Before taking a test, I feel very alert and a little restless.' The nurse can correctly assess the student's experience as

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which assessment questions would be most appropriate for the nurse to ask a patient with possible obsessive-compulsive disorder? (Select all that apply.)

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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