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, A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the
following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate b. Dim the lights in the client's room
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate.
Which of the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality c. Identify prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in the sky. Sky
is up high." The nurse should document the client's statement as which of the following speech
alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association d. Clang association
A nurse is planning overall strategies to address problems for a client who
has a borderline personality disorder. Which of the following strategies is the
priority for the nurse to incorporate into the plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings