A patient experiencing acute mania is dancing atop a pool table ...

[melly21297]

A patient experiencing acute mania is dancing atop a pool table in the recreation room. The patient waves a cue in one hand and says, I'll throw the pool balls if anyone comes near me. To best assure safety, the nurse's first intervention is to:
 
  a. tell the patient, You need to be secluded.
  b. clear the room of all other patients.
  c. help the patient down from the table.
  d. assemble a show of force.

Question 2

A patient with acute mania has disrobed in the hall three times in 2 hours. The nurse should:
 
  a. direct the patient to wear clothes at all times.
  b. ask if the patient finds clothes bothersome.
  c. tell the patient that others feel embarrassed.
  d. arrange for one-on-one supervision.

[reversalruiz]

Answer to Question 1

ANS: B
Safety is of primary importance. Once other patients are out of the room, a plan for managing this patient can be implemented.

Answer to Question 2

ANS: D
A patient who repeatedly disrobes despite verbal limit setting needs more structure. One-on-one supervision may provide the necessary structure. Directing the patient to wear clothes at all times has not proven successful, considering the behavior has continued. Asking if the patient is bothered by clothing serves no purpose. Telling the patient that others are embarrassed will not make a difference to the patient whose grasp of social behaviors is impaired by the illness.

[melly21297]

Gracias!

[laurnthompson]

TYSM