A patient with bipolar disorder is hyperactive and has not slept ...

[natalie2426]

A patient with bipolar disorder is hyperactive and has not slept for 3 days. Mood and behavior are labile. The patient threatens to hit another patient. Which response by the nurse is appropriate?
 
  a. Stop that now. No one did anything to provoke an attack by you..
  b. If you try that again, you will be placed in seclusion immediately..
  c. Do not hit anyone. If you are unable to control yourself, we will help you..
  d. You know we will not let you hit anyone. Why do you continue this behavior?

Question 2

The nurse is working with a male client to instill a feeling of self-commitment to improve his self-esteem. From which of the following interventions would the client most benefit?
 
  a. Having the client promise himself that he will do the best he can in a particular situation, knowing that failure is a possibility
  b. Encouraging the client to do the best he can in any given situation, while reminding him that failure is a possibility
  c. Ensuring that the client limits activities to those in which he is sure to be successful
  d. Allowing the client to set goals that are nearly impossible to achieve but giving him the opportunity to try his best to meet these goals

[srodz]

Answer to Question 1

C
When the patient is unable to control his or her behavior and violates or threatens to violate the rights of others, limits must be set to deescalate the situation. Limits should be set in simple, concrete terms.

Answer to Question 2

A
Having the client promise himself, with the knowledge that failure is a possibility, is the most beneficial option because it is making the client active in the process and is also the most realistic approach. Simply encouraging the client does not make the client active in the situation. Ensuring that the client limits activities to those in which he will be successful is too protective. Allowing the client to set nearly impossible goals is setting him up for failure.