114 Bipolar & Eating DO

A client with bipolar type II comes into the emergency department during a severe depression. The client attempted to overdose on medication. Which statement, by the nurse, is most therapeutic?

• "Did you really try to kill yourself?"

• "Why you do want to die?"

• "Tell me about what happened."

• "I hope you can find some peace."

A client with a diagnosis of bipolar disorder instigates violence towards another client in the dayroom. Which intervention is priority at this time?

• Administer haloperidol IM

• Ask the client if they'd like to go on a walk

• Orient the client to reality

• Remove the targeted client from the dayroom

The nurse notices a manic client pacing and talking rapidly upon admission to the mental health unit. What is the best nursing action at this time?

• Delay orientation to the unit until the client is calm

• Provide the client with a snack

• Give simple directions and explanations

• Place the client in a private room

Answer explanation

Orientation to the environment will help offset agitation and anxiety. A snack and placement in a private room may be helpful, but not priority at this time.

Providing simple directions and explanations helps keep the client focused and not overwhelmed in a new environment.

A client is admitted to the emergency room following a drug overdose. The client tells the nurse, “I’m scared. I think I’m going to die.” Which of the following responses by the nurse is most appropriate?

• “Everything is going to be fine. We’ll take good care of you.”

• “I can give you some medication to help you calm down.”

• “Please don't talk while we get you stabilized.”

• “It’s normal to feel frightened. We’re doing everything we can for you.”

In binge eating disorder, purging or other compensatory behavior follows the binge.

• True

• False

The most important intervention during the initial stage of treatment for anorexia nervosa is _________

The nurse is meeting with a client at a follow up visit following an admission for anorexia nervosa treatment. The client has been refusing lunch and states, "I already have a bulging tummy; the last thing I need is more food."

Which response, by the nurse, reinforces a realistic thinking process?

• "Look at you, you look like a skeleton. Please sit down and eat lunch."

• "This is not acceptable. Your family is worried about your health and all you can think about is your bulging tummy."

• "I know you think you have a bulge, but to me, you are very thin. You seem anxious about eating lunch."

• "Remember that you've been diagnosed with anorexia nervosa and have altered thought processes. The bulge doesn't exist."

Answer explanation

Acknowledge the client's feelings while presenting reality.

The nurse understands that when a client with bulimia nervosa has increased anxiety, _____ may occur.

• Aggressive behaviors

• Binging and purging

• Overeating

• Isolating behaviors

The nurse observed that a shy client with depression visited the dayroom and played cards with two other clients. What is the best feedback the nurse can provide to the client?

• "You are doing a wonderful job interacting with the other clients."

• "I noticed that you sat with others in the dayroom today."

• "How are you feeling after playing cards today?"

• "Do you plan on playing cards again tomorrow?"

Answer explanation

The question being asked concerns feedback. Feedback involves giving information to the client, rather than getting information from them.