Practice Question
A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?
Answer Choices:
Correct Answer:
The client paces in the hallway during the day and most of the night.
Rationale:
💎 In mania, excessive physical activity and lack of sleep put the client at high risk for exhaustion and physical collapse, which can be life-threatening.
💎 While hostility, giving away money, and flight of ideas are concerning behavioral and safety issues, they are not immediate physiological priorities.
💎 According to Maslow’s hierarchy of needs, physiologic stability (rest, nutrition, hydration, sleep) comes before psychosocial concerns.
💎 Addressing constant pacing and lack of rest helps prevent cardiac strain, malnutrition, and severe fatigue.
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This question is from ATI LPN Mental Health level 4 Exam which contains 33 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 4