An inpatient with the diagnosis of bipolar disorder, manic type, ...

[mckennatimberlake]

An inpatient with the diagnosis of bipolar disorder, manic type, became agitated and pushed an-other client. The staff responded by wrestling him to the floor and then placing him in seclusion.
 
  The next day, the charge nurse called a meeting to discuss the incident. The most appropriate ap-proach for the charge nurse to use would be:
  1. Let's review what happened yesterday.
  2. How did this situation get so out of control?
  3. The client is very angry and might file a lawsuit. How can we protect ourselves?
  4. I wonder why you didn't try a less restrictive intervention with Mr. W yester-day.

Question 2

A client tells the nurse, I'm despairing. God lets me suffer with a mental illness that returns over and over again. I pray to get well and stay well, but God doesn't answer. The nurse should con-sider developing which nursing diagnosis?
 
  1. Powerlessness
  2. Spiritual distress
  3. Decisional conflict
  4. Social isolation

[allisonblackmore]

Answer to Question 1

ANS: 1
To facilitate an open, honest review of the incident that will permit learning to take place, the charge nurse must not place the staff on the defensive. Option 1 is a neutral opening. The other options imply the nurse does not believe the situation was handled in an appropriate way.

Answer to Question 2

ANS: 2
Data indicate that the client feels separated from God. There are few data to support the other options listed.

[mckennatimberlake]

Thank you

[allisonblackmore]

Happy to help you