NCLEX-RN

Category - Psychosocial

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A client is admitted with a diagnosis of bipolar affective disorder, mania. Which of the following requires the nurse’s first intervention?

Wearing of inappropriate dress
Grandiose delusions of being the King of Sparta
Sleeping little and poor nutritional intake
Making obscene remarks to female nurses

Explanation

Answer: C - A client with bipolar mania may demonstrate all options. According to Maslow’s hierarchy of needs, anything that compromises one’s physiological integrity must be addressed first and takes priority over the psychosocial needs. In this case, sleeping little and poor nutritional intake is the only option that addresses the client’s physiological needs.

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