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HESI - Psych. Bipolar Disorder Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with bipolar disorder is admitted in a manic state. What is the nurse’s priority intervention?
- Encourage participation in stimulating group games.
- Allow the client to choose unlimited activities.
- Offer detailed explanations of unit rules.
✔✔B. Provide a calm and low-stimulation environment.
A client in mania is not sitting long enough to eat meals. What is the best nursing action?
- Insist the client sit at the dining table.
- Withhold meals until the client calms down.
- Allow the client to skip meals.
✔✔B. Offer high-calorie finger foods.
A client in a manic episode interrupts and distracts others constantly. What is the nurse’s best response? 1 / 3
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- Ignore the behavior.
- Isolate the client permanently.
- Tell the client to “calm down.”
✔✔B. Set firm and consistent limits.
A nurse observes a client pacing rapidly, talking loudly, and refusing rest. What phase of bipolar disorder is this?
- Depressive
- Mixed
- Remission
✔✔B. Manic
A client with bipolar disorder has been awake for two nights. What is the nurse’s priority intervention?
- Allow the client to remain active.
- Provide caffeine to promote energy.
- Increase social activities to distract the client. 2 / 3
✔✔B. Encourage frequent rest in a quiet area.
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A client in mania refuses medications, saying “I don’t need them.” What should the nurse do?
- Force the client to take the medication.
- Ignore the refusal.
- Allow the client to skip doses.
✔✔B. Explain the benefits and set firm boundaries.
Which activity is most appropriate for a manic client?
- Chess tournament
- Competitive volleyball
- Long group debates
✔✔C. Finger painting
A client with bipolar disorder is pressured and nonstop in speech. What term describes this?
- Echolalia
- Loose associations
- Mutism
- / 3
✔✔B. Pressured speech