A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting rapid speech, racing thoughts, and impulsive behavior. What is the priority nursing intervention?

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Behavioral Health Certification for Nurses Questions

Question 1 of 5

A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting rapid speech, racing thoughts, and impulsive behavior. What is the priority nursing intervention?

Correct Answer: A

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

Question 2 of 5

A nurse is caring for a patient diagnosed with major depressive disorder. The patient states, 'I can't go on anymore. I feel like I am just a burden to everyone.' What is the priority nursing action?

Correct Answer: B

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

Question 3 of 5

Which technique will best communicate to a patient that the nurse is interested in listening?

Correct Answer: A

Rationale: Restating allows the patient to validate the nurse's understanding of what has been communicated. Restating is an active listening technique. Judgments should be suspended in a nurse-patient relationship. Close-ended questions such as 'Did you feel angry?' ask for specific information rather than showing understanding. When the nurse simply states that he or she understands the patient's words, the patient has no way of measuring the understanding.

Question 4 of 5

During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:

Correct Answer: D

Rationale: When a patient tries to focus on the nurse, the nurse should refocus the discussion back onto the patient. Telling the patient that interview time should be used to discuss patient concerns refocuses discussion in a neutral way. Telling patients not to ask about the nurse's personal life shows indignation. Saying that nurses prefer to direct the interview reflects superiority. 'Why' questions are probing and nontherapeutic.

Question 5 of 5

A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient exhibits impulsive behavior and makes rash decisions. What is the priority nursing intervention?

Correct Answer: B

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

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