Author Question: Which principle should the nurse apply when planning care for a patient who is diagnosed with ... (Read 49 times)

Caiter2013 · **on:** Jul 19, 2018

Which principle should the nurse apply when planning care for a patient who is diagnosed with bipolar disorder and currently in the manic phase?

a. Manic patients respond well to peer pressure.
b. Decreasing stimulation tends to diminish symptoms.
c. Increasing stimulation tends to encourage the patient to focus.
d. Detailed activities will facilitate the patient's ability to self control behavior.

Question 2

Which nursing intervention is most therapeutic when the nurse is managing the aggres-sive, disruptive behaviors of a manic patient whose attempts to control the milieu has been rejected by the other patients?

a. Advising that the patient to accept the wishes of the group
b. Suggesting that the patient either quiet down or leave the room
c. Accompanying the patient to a quieter part of the unit
d. Ignoring the patient's outbursts because they are surly related to the mania

Fayaz00962 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The only statement that is a valid principle is the option related to activity and its impact on controlling behavior. The other statements are inaccurate.

Answer to Question 2

ANS: C
Escorting the patient to a less stimulating environment will assist the patient to remain in control of behavior. It is unlikely that the patient would respond to verbal suggestions to leave the area unaccompanied or accept the group's wishes and would likely see the sugges-tions as a threat that would further escalate the impending loss of control. The behavior can-not be ignored since it will likely lead to an acceleration of the mania.