A nurse is developing a presentation for families who have members that have been diagnosed with bipolar disorders. When describing this condition to the group, which of the following would the nurse most likely include?

Correct Answer: C

Rationale: The correct answer is C because individuals with bipolar disorder have an increased risk of suicide during both depressive and manic episodes. This is important for families to be aware of in order to provide appropriate support and interventions. Choice A is incorrect as bipolar disorder is a chronic condition that typically requires ongoing management, episodes may not necessarily decrease with age. Choice B is incorrect because while environmental stressors can contribute to the development and exacerbation of bipolar disorder, they are not the sole cause. Choice D is incorrect as risk-taking behaviors are more commonly associated with manic episodes rather than depressive episodes in bipolar disorder.

Correct Answer: B

Rationale: The correct answer is B because asking about a specific plan to end their life assesses the client's level of risk for immediate harm. It helps determine the seriousness of their suicidal thoughts and the need for immediate intervention. Choices A, C, and D are incorrect because they do not directly address the client's suicidal ideation or assess their immediate risk. Option A focuses on the client's perception of life but does not assess their immediate safety. Option C seeks clarification but does not address the urgency of the situation. Option D emphasizes trust but does not assess the client's immediate risk.

Correct Answer: D

Rationale: The correct answer is D: Alzheimer's disease. This is because Alzheimer's disease is the most prevalent mental disorder in the United States, affecting a large number of individuals, especially in older age groups. Schizophrenia (A) and bipolar disorder (B) are serious mental illnesses, but they are less common than Alzheimer's disease. Dissociative fugue (C) is a rare disorder characterized by amnesia and sudden travel away from home. While all these disorders are significant, Alzheimer's disease stands out as the most prevalent in the U.S. based on epidemiological data.

Correct Answer: D

Rationale: The correct answer is D: A potential symptom of traumatization. This behavior of playacting as a police officer and causing fear in other children can be a red flag for trauma. Trauma can manifest in various ways in children, including through aggressive or controlling behaviors. The boy may be reenacting a traumatic event he witnessed or experienced, using the role of a police officer to process his feelings of powerlessness or fear. It is important for the nurse to consider the possibility of trauma and address it appropriately. Choices A, B, and C are incorrect because they do not directly address the concerning behavior displayed by the child. The behavior is not simply about the need to dominate others, inventing traumatic events, or developing close relationships. Instead, it suggests deeper psychological distress that requires a trauma-informed approach for intervention.

Correct Answer: B

Rationale: The correct answer is B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format for problem-oriented charting. In choice B, the subjective information is the patient's statement, the objective information includes the observed behavior, assessment is the diagnosis of auditory hallucinations, and the plan includes offering medication and the outcome. Choice A lacks a clear assessment and plan, focusing more on the intervention and outcome. Choice C does not clearly link the assessment to the plan and lacks details in the subjective and objective sections. Choice D does not provide a clear separation between subjective and objective information and lacks a formal assessment section.