Author Question: A patient with severe anxiety has been pacing the hall and suddenly begins to run, shouting I'm ... (Read 33 times)

Pineapplelove6 · **on:** Jul 19, 2018

A patient with severe anxiety has been pacing the hall and suddenly begins to run, shouting I'm going to explode over and over. The nurse who has been walking with him should:

a. run after the patient and call out for the patient to stop running.
b. catch up with him and manually hold him to prevent further running.
c. say, I'm not sure what you meantell me more, give me an example..
d. quickly gather more staff and state, We will help you regain control..

Question 2

A 16-year-old teenage boy who is bullied at school has recently started staying in his room and not associating with his friends. His grades are dropping and he refuses to eat dinner with his family.

What actions should his parents be advised to take? a. Accept this as a normal part of adolescent behavior and do not interfere.
b. Take the door off his room and scold him for his behavior.
c. Realize that his peer group will handle this as he needs to break away from family.
d. Set limits with him in a respectful manner and assist him to problem solve.

BUTTHOL369 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Safety needs of the patient and other patients are a priority. The patient is less likely to hurt himself or others when several staff take responsibility for providing limits and instilling a sense of safety so that the patient is less frightened. The explanation given the patient should be simple and neutral. Simply being told that others can provide the control he is losing may be sufficient to help the patient regain control. Running and calling after the patient is stimulating and will increase his anxiety. More than one staff member will be needed to provide physical limits safely if they become necessary, and manually controlling the patient could be misperceived as an assault, further frightening him and intensifying his anxiety. Attempting to explore or clarify what is happening would be nontherapeutic: a patient in panic processes information poorly and likely would be further frustrated if asked to do so.

Answer to Question 2

D
Adolescents who are bullied are at high risk for suicide. Health care providers who work with adolescents must assess every teen for his or her suicidal risk. The goals of treatment for suicidal adolescents are to protect them from harm, build trusting therapeutic relationships, and assist them in developing self- awareness and alternate coping skills.