A nurse is preparing to administer medications to a female client with bipolar disorder who is experiencing acute mania. Which of the following would be most appropriate for the nurse to do?

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Question 1 of 4

A nurse is preparing to administer medications to a female client with bipolar disorder who is experiencing acute mania. Which of the following would be most appropriate for the nurse to do?

Correct Answer: B

Rationale: The correct answer is B: Allow the client to participate in the treatment decision. Involving the client in the treatment decision-making process empowers them and promotes autonomy, which is important in mental health care. It also helps build trust and rapport. Choice A is incorrect as it may lead to resistance and conflict. Choice C is inappropriate and a violation of the client's rights unless there is an imminent risk of harm. Choice D is not the most appropriate initial action, as involving the client directly in their care should be prioritized.

Question 2 of 4

The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C: Achieving independent functioning of the child as an adult. This is the most appropriate long-term goal as it focuses on empowering the child to lead a fulfilling and independent life despite their condition. It emphasizes working towards maximizing the child's potential and enhancing their quality of life. A: Locating suitable residential placement for the child is not the most appropriate long-term goal as it does not focus on the child's independence and potential growth. B: Finding a foster home for the child is not suitable as it does not address the child's long-term development and independence. D: Preventing the onset of psychiatric disorders in the child is important but may not be the most relevant long-term goal as it does not directly address the child's mental retardation or focus on their independent functioning as an adult.

Question 3 of 4

A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?

Correct Answer: C

Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice A) and lack of vocational skills (choice B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice D) can impact the client's support system but are not the primary reason for relapse in this scenario.

Question 4 of 4

Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.

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