The nurse is reviewing the medical record of a client with bipolar disorder. The nurse would most likely expect to find a history of which of the following?

Correct Answer: A

Rationale: The correct answer is A: Panic disorder. Bipolar disorder and panic disorder commonly co-occur due to similarities in symptoms and underlying mechanisms. Both disorders involve periods of intense anxiety, fear, and impaired functioning. Research also suggests shared genetic and environmental risk factors. The other choices (B: Schizophrenia, C: Delusional disorder, D: Posttraumatic stress disorder) are less likely to be found in conjunction with bipolar disorder based on their distinct features and diagnostic criteria.

Correct Answer: D

Rationale: The correct answer is D because ensuring a safe and supportive environment is the priority in assessing a sexually abused child. Safety and comfort are crucial for the child to feel secure and open up about their experience. This approach helps build trust and rapport, leading to a more effective assessment and support. A: Finding out when the abuse occurred is important but not the immediate priority. B: Documenting for court is necessary but not the first step in caring for the child's well-being. C: Using anatomically correct dolls can be helpful in some cases, but it should not be the priority over ensuring the child's safety and well-being.

Correct Answer: D

Rationale: The correct answer is D: Stabilize the client's physical health status. This should be done first because addressing immediate physical health needs is crucial for the client's well-being. Without stable physical health, the client may not be able to engage effectively in accessing benefits or finding safe facilities. Referring to social services (A) and discussing privacy (C) are important but secondary to addressing physical health. Providing a list of safe facilities (B) is also important but not as critical as stabilizing the client's health. By addressing physical health first, the nurse can ensure the client is in a better position to address other needs effectively.

Correct Answer: D

Rationale: The correct answer is D because the DSM-V classifies mental disorders that individuals have. The DSM-V is a diagnostic manual used by mental health professionals to categorize and classify mental disorders based on specific criteria. It focuses on identifying patterns of symptoms and behavior that indicate the presence of a mental disorder. Choices A, B, and C are incorrect because the DSM-V does not solely focus on deviant behaviors, present disability or distress, or people with mental disorders in general, but specifically on identifying and classifying mental disorders that individuals may have based on established criteria.

Correct Answer: D

Rationale: The correct answer is D: Assist the client to report abusive behavior to the proper authority. This is the most appropriate intervention because it prioritizes the safety and well-being of the client. Reporting abusive behavior to the proper authority can help protect the client from further harm and connect her with resources and support services. It also empowers the client to take action to address the abusive situation. Choice A is incorrect because involving the client's husband directly may escalate the situation and put the client at further risk. Choice B is incorrect as it focuses on the client recognizing signs of escalation, rather than taking immediate action to address the abuse. Choice C is incorrect as it places the responsibility on the client to identify triggers, rather than addressing the abusive behavior directly. Reporting to the proper authority is the most effective and immediate intervention in cases of abuse.