Author Question: A patient with bipolar disorder has stabilized and is being discharged from the hospital. The ... (Read 30 times)

stephzh · **on:** Jul 19, 2018

A patient with bipolar disorder has stabilized and is being discharged from the hospital. The patient will live independently at home but lacks social skills and transportation. Which referral would be most appropriate?

a. A group home
b. A self-help group
c. A day treatment program
d. Assertive community treatment (ACT)

Question 2

A patient backs into a corner of the room and shouts at the nurse, Stay away from me. Select the best initial nursing intervention in this situation.

a. Obtain an order for seclusion.
b. Administer a PRN antipsychotic drug.
c. Call for assistance to physically restrain the patient.
d. Talk to the patient in a calm, nonthreatening manner.

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

Answer to Question 1

D
Assertive community treatment (ACT) provides intensive supervision, which includes assistance with medications and transportation that would support the goal of minimizing future hospitalizations. A group home is unnecessary, because the patient will reside at home. A day treatment program would provide a therapeutic program directed toward symptoms, but the patient's symptoms have stabilized so this service is not indicated. A self-help group would not provide the intensity of service this patient needs.

Answer to Question 2

D
Verbal intervention provides the least restrictive alternative in this situation. Verbal intervention might halt escalation and prevent the need for medication or the use of restraint or seclusion. Seclusion, restraint, and medication usage are all more restrictive than verbal intervention.