During a group session, a flirtatious patient with mania shares ...

[NguyenJ]

During a group session, a flirtatious patient with mania shares that several patients and the nurse have bodies that are really nice.. The most therapeutic response from the nurse would be:
 
  a. Please go to your room. You're being inappropriate to me and the other patients..
  b. I know your thoughts are very rapid right now. Let's walk to your room where you can take a 30-minute time-out..
  c. Were you aware before you spoke that what you just said would offend me and the other patients on the unit very much?
  d. Do not speak to me or others like this. Would you like to take this opportunity to apologize to me and the other patients?

Question 2

A patient who was held hostage for 12 hours by a carjacker now repeatedly states, I can't believe it happened to me while admitting to feeling anxious and being afraid of strangers and of ever driving again.
 
  The nurse's interventions should target: (Select all that apply.) a. denial.
  b. anxiety.
  c. confusion.
  d. self-efficacy.
  e. suicide potential.

[akudia]

Answer to Question 1

B
When patients are inappropriate and intrusive on the unit, the nurse will want to protect the patient (who will probably be embarrassed when his or her thinking clears), other inpatients, and self. The most therapeutic intervention is one that distracts the patient and enlists cooperation for a time-out before escalation of the behavior occurs. As the patient's mental status clears, the nurse's sensitivity to the patient will foster trust in the therapeutic relationship.

Answer to Question 2

A, B, D
The patient is using denial, admits to anxiety, and has self-doubts. These would be appropriate targets for intervention.