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Redirecting emotions or feelings toward a substitute target

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A community mental health nurse counsels a group of patients about the upcoming flu season. What instruction does the nurse provide for patients who are prescribed lithium?a. "Call the clinic if you have nausea, vomiting, and/or diarrhea or are unable to stay well hydrated."b. "Remember that lithium reduces your immunity, so you are more vulnerable to catching the flu."c. "The flu is contagious. Isolate yourself if you get the flu so that you avoid exposing others to it."d. "Because you take lithium, you may have flu symptoms that are not typically experienced by others."
A patient diagnosed with bipolar disorder lives in the community and is showing early signs of mania. The patient says, "I need to go visit my daughter, but she lives across the country. I put some requests on the Internet to get a ride. I'm sure someone will take me." What is the nurse's most therapeutic response?a. "I'm concerned about your safety when meeting or riding with strangers."b. "Have you asked friends and family to donate money for your airfare?"c. "You are not likely to get a ride. Let's consider some other strategies."d. "Have you asked your daughter if she wants you to come for a visit?"
A patient has a long history of bipolar disorder with frequent episodes of mania secondary to stopping prescribed medications. The patient says, "I will use my whole check next month to buy lottery tickets. Winning will solve my money problems." Select the nurse's best action.a. Educate the patient about the low odds of winning the lottery.b. Present reality by saying to the patient, "That is not a good use of your money."c. Confer with the treatment team about appointing a legal guardian for the patient.d. Tell the patient, "If you buy lottery tickets, your money will run out before the end of the month."

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