Explanation:
When working with a manic client who is behaving in a dominating and manipulative way and creating chaos in a day treatment program, it is important to establish clear boundaries and set realistic limits to maintain safety and promote a therapeutic environment. One way to do this is to describe acceptable behavior to the client and provide clear expectations for their conduct in the program. This can be done in a non-judgmental and supportive way while still being firm and consistent in setting limits and enforcing consequences for unacceptable behavior. Additionally, it may be helpful to work with the client to identify triggers for their manic behavior and develop coping strategies to manage their symptoms. This can involve collaborative goal setting, problem-solving, and education about their condition and available treatments. The goal is to provide clients with a safe and supportive environment while promoting their recovery and well-being.
Explanation:
If Ciara references to suicide as the best solution to her identified problems, this would be the most important information regarding her suicide risk. This type of statement suggests that Ciara has already thought about suicide as a solution to her problems and may have the plan to carry it out. It also indicates a level of hopelessness and despair that can be a significant risk factor for suicide. When evaluating an individual for suicide risk, mental health professionals consider various factors, including recent suicidal thoughts or behaviors, access to means for suicide, history of suicide attempts, current life stressors, and current levels of social support. However, a clear statement about suicide being the best solution to her problems is a particularly concerning and significant risk factor that requires immediate attention and intervention to ensure her safety.
Explanation:
Bipolar disorder is a mental health condition characterized by episodes of manic and/or depressive symptoms. In this case, Ralph has been diagnosed with bipolar disorder with a single manic episode. During a manic episode, individuals may experience symptoms such as elation, euphoria, increased energy, hyperactivity, decreased need for sleep, racing thoughts, impaired judgment, and risk-taking behaviors. These symptoms can significantly impair an individual's ability to function in daily life and may require hospitalization or other forms of treatment to ensure their safety and well-being. The nurse caring for Ralph should be alert for signs of worsening manic symptoms or potential complications, such as aggression or psychosis, and should work with the treatment team to provide appropriate interventions and support.
Explanation:
Schizoid personality disorder patients are frequently disconnected, uncaring, and socially withdrawn. He doesn't care to win people over. Thus, he wouldn't act in a way to win the nurse over. The remaining choices all contain traits that define someone with a schizoid personality disorder.
Explanation:
The biogenic amine theory suggests that a deficiency in certain neurotransmitters, particularly serotonin, and norepinephrine, can lead to depression. Serotonin is thought to regulate mood, appetite, and sleep, while norepinephrine is involved in the body's stress response and arousal. Low levels of these neurotransmitters have been associated with symptoms of depression, such as feelings of sadness, decreased energy, and changes in appetite and sleep patterns. Many antidepressant medications target these neurotransmitters to increase their availability in the brain and alleviate depressive symptoms.
Explanation:
The primary contributing factor to depression is a chemical imbalance of neurotransmitters in the brain. However, the precise cause is still unknown.
Explanation:
A dependent personality disorder is characterized by a pervasive need to be taken care of, which leads to submissive and clinging behavior, fear of separation, and difficulty making decisions without reassurance and advice from others. People with a dependent personality disorder often lack self-confidence and have difficulty expressing disagreement or initiating projects independently. They may also fear abandonment and experience anxiety when alone or faced with the prospect of being alone. In the case of Mrs. Jenner, her dependent personality disorder may complicate her recovery from her depressive disorder, and the nurse should work closely with the treatment team to provide appropriate interventions and support. This may include helping Mrs. Jenner develop more self-confidence and independence and providing reassurance and support as needed to help her manage her depressive symptoms.
