Author Question: A patient who is displaying manic behavior enters the unit's dayroom and declares in a loud, ... (Read 50 times)

Hungry! · **on:** Jul 19, 2018

A patient who is displaying manic behavior enters the unit's dayroom and declares in a loud, threatening voice, I have friends, and if you don't show me proper respect, you'll be sorry The nurse's initial response should be to approach

the patient, address him formally, and say in a: a. soft voice, You will always have proper respect here. Let's sit over here and talk..
b. soft voice, You are really frightening the other patients. Please go to your room..
c. firm voice, You are out of control. I expect you to go to your room immediately..
d. firm voice, You seem to be escalating again. I've brought an injection that will calm you and slow your thinking..

Question 2

A nurse who advocates for consumer empowerment will seek to help psychiatric patients:

a. achieve a sense of self-responsibility.
b. comply with provider-prescribed treatment programs.
c. understand that their viewpoints are flawed by mental illness.
d. use resources predominantly from the formal mental health system.

anyusername12131 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
When dealing with a patient who is escalating, the nurse initially assesses the patient's ability to use self-control and to respond to verbal cues. Speaking in a calm, soft voice and calling the patient by his or her formal title (unless the patient has insisted on being called by a first name), the nurse attempts to deescalate the patient by engaging him or her in a conversation that allows the expression of concerns. The remaining options either appear to threaten the client or have the nurse determine the topic of the conversation rather than focusing on the client's concerns.

Answer to Question 2

A
Nurses who advocate for consumer empowerment for patients with mental health disorders assist patients in achieving a sense of personal responsibility, in collaborating with health professionals to determine their treatment plans, in being respected for the legitimacy of their points of view, and in using resources from the entire community rather than just the formal mental health system.