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Author Question: A patient displaying symptoms of mania has spent the entire morning pacing in the dayroom and now ... (Read 237 times)

V@ndy87

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on: Jul 19, 2018
A patient displaying symptoms of mania has spent the entire morning pacing in the dayroom and now has begun verbally intimidating other patients. The nurse manages the milieu by:
 
  a. obtaining a telephone order to seclude the patient.
  b. stating, You can't frighten the other patients..
  c. escorting the patient out of the dayroom.
  d. distracting the patient with the television.

Question 2

A young, newly married adult says, My spouse never lets me out of sight. I'm not allowed to do anything on my own, and I'm constantly accused of cheating.. Which nursing comment is most therapeutic for this individual?
 
  a. Have you discussed the behavior with your spouse?
  b. How does your spouse's behavior make you feel?
  c. Are there other examples of controlling behaviors on your spouse's part?
  d. Do you feel that your spouse has anything to be upset or suspicious about?


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Li Jun

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Reply #1 on: Jul 19, 2018
Answer to Question 1

C
A less stimulating environment would be therapeutic for the patient but seclusion would not be the initial intervention. Verbal interventions would not be successful in providing the necessary structure; another approach to limit setting should be tried. When sufficient staff members are assembled, one nurse should set limits by saying, We are here to walk to your room with you.. The presence of other staff members ensures that the limit setting can be safely implemented. The patient's active state would not be distracted by the television.

Answer to Question 2

B
The most therapeutic communication is the one that facilitates the patient's expression of feelings.


V@ndy87

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Reply #2 on: Jul 19, 2018
TY


Li Jun

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Reply #3 on: Jul 19, 2018
Happy to Help


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