Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce Ted's mania the psychiatric nurse practitioner recommends:

Correct Answer: D

Rationale: The correct answer is D: Lurasidone (Latuda). Lurasidone is an atypical antipsychotic commonly used to treat bipolar disorder. It helps stabilize mood and reduce symptoms of mania. Given Ted's history of bipolar I and manic episodes, lurasidone is an appropriate choice. Clonazepam (A) is a benzodiazepine used for anxiety, not mania. Fluoxetine (B) is an SSRI antidepressant, which can potentially worsen manic symptoms. Electroconvulsive therapy (C) is typically reserved for severe cases or when other treatments have failed, and may not be necessary in Ted's case. Lurasidone (D) is the most suitable option for managing Ted's mania while considering his medical history and current treatment.

Correct Answer: A

Rationale: Correct Answer: A - Risk for suicide Rationale: Given the client's feelings of guilt and the significant life-altering consequences of the accident, assessing the risk for suicide is crucial to ensure the client's safety and well-being. Suicidal ideation may be present due to overwhelming guilt and disability. Summary of other choices: B: Level of depression - While important, assessing depression is secondary to assessing the immediate risk of suicide in this scenario. C: Social support systems - While social support is important, assessing the risk for suicide takes precedence in this high-risk situation. D: Financial status - While financial concerns may be relevant, they are not the priority in this case where the client's mental health and safety are at stake.

Correct Answer: A

Rationale: The correct answer is A because prohibiting a patient from using the telephone violates their right to communication. Patients have the right to contact others for support or assistance. Choice B is incorrect because opening a package in the patient's presence is not a violation of their rights. Choice C is incorrect because maintaining close supervision of a patient with homicidal ideation is necessary for safety. Choice D is incorrect because allowing a patient with psychosis to refuse medication respects their autonomy and right to make informed decisions about their treatment.

Correct Answer: D

Rationale: The correct answer is D because removing the television from the bedroom is a positive step towards improving sleep hygiene. TVs emit blue light, which can disrupt sleep. This action creates a better sleep environment. A: Going to bed when not sleepy can lead to frustration, making it harder to fall asleep. B: Consuming alcohol before bed can disrupt sleep patterns and quality. C: Taking daily naps can interfere with the ability to fall asleep at night and disrupt the sleep-wake cycle.

Correct Answer: A

Rationale: The correct answer is A: Transaction. In King's model, the nurse-patient interaction is viewed as a transaction where both parties influence each other. This is correct as the nurse and patient exchange information, thoughts, and feelings during the interaction. Choice B, Adaptation, focuses more on the patient adapting to changes, not the interaction itself. Choice C, Transpersonal caring, emphasizes the nurse's caring relationship with the patient but doesn't capture the interactive nature of the model. Choice D, Self-system, refers to the patient's perception of self, which is not the main focus of King's model.