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.

Correct Answer: D

Rationale: The correct answer is D because anxiety and depression in an incest survivor are considered normal reactions to posttraumatic events. Survivors often experience these symptoms as a result of the trauma they have endured. It is important for the survivor to understand that these reactions are common and part of the healing process. Choice A is incorrect because complete eradication of these symptoms may not be realistic. Choice B is incorrect as it downplays the seriousness of the survivor's experience. Choice C is incorrect because labeling the symptoms as abnormal may further stigmatize the survivor.

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.

Correct Answer: C

Rationale: Rationale: According to Maslow's hierarchy of needs, self-fulfillment is the highest level of need, representing personal growth and reaching one's full potential. This is known as self-actualization. Clients who discuss feelings of self-fulfillment are considered highly evolved and mature as they have satisfied lower-level needs and are focused on personal growth. Choices A, B, and D relate to lower levels of needs such as safety, belongingness, and esteem respectively, which are not as advanced as self-fulfillment. Therefore, choice C is the correct answer as it aligns with the highest level of need in Maslow's hierarchy.

Correct Answer: A

Rationale: The correct answer is A: Altruism. Altruism refers to selflessly helping others, even at the expense of one's own needs or emotions. In this scenario, the nurse who was not promoted initially displayed altruism by supporting the new manager and helping with the transition. This behavior shows a positive and supportive response towards others despite personal disappointment. Summary of other choices: B: Suppression involves consciously ignoring or pushing down unwanted emotions or thoughts, which is not evident in the nurse's response. C: Intellectualization is a defense mechanism where one focuses on facts and logic to distance themselves from emotions, which is not applicable in this scenario. D: Reaction formation is when one displays behaviors opposite to their true feelings, which does not align with the nurse's supportive and helpful response.