Psychiatric Technician Practice Exam

What nursing diagnosis is relevant for a client in the manic phase of bipolar disorder?

1. Imbalanced nutrition

2. Risk for injury

3. Social isolation

4. Disturbed sleep pattern

The correct answer is: Risk for injury

In the manic phase of bipolar disorder, individuals often display heightened energy levels, increased activity, impulsivity, and a lack of regard for personal safety, which significantly raises the potential for self-harm or harm to others. This makes the nursing diagnosis of "Risk for injury" particularly pertinent. The client might engage in reckless behaviors, such as spending sprees, substance abuse, or engaging in unsafe situations, which could lead to accidents or injuries. Nursing interventions would focus on creating a safe environment, closely monitoring the client for any dangerous behaviors, and implementing safety measures to prevent injury. This proactive approach is crucial to ensure the client's well-being during a period characterized by such instability and impulsive behavior.