A patient experiencing acute mania undresses in the group room ...

[fahad]

A patient experiencing acute mania undresses in the group room and dances. The nurse intervenes initially by:
 
  a. quietly asking the patient, Why don't you put your clothes on?
  b. firmly telling the patient, Stop dancing and put on your clothing.
  c. putting a blanket around the patient and walking with the patient to a quiet room.
  d. letting the patient stay in the group room and moving the other patients to a different area.

Question 2

A patient demonstrating behaviors associated with acute mania has exhausted the staff by noon. Staff members are feeling defensive and fatigued. Which action will the staff take initially?
 
  a. Confer with the health care provider to consider use of seclusion for this patient.
  b. Hold a staff meeting to discuss consistency and limit-setting approaches.
  c. Conduct a meeting with all staff and patients to discuss the behavior.
  d. Explain to the patient that the behavior is unacceptable.

[katieost]

Answer to Question 1

ANS: C
Patients must be protected from the embarrassing consequences of their poor judgment whenever possible. Protecting the patient from public exposure by matter-of-factly covering the patient and removing him or her from the area with a sufficient number of staff to avoid argument and provide control is an effective approach.

Answer to Question 2

ANS: B
When staff members are at their wits' end, the patient has succeeded in keeping the environment unsettled and avoided outside controls on behavior. Staff meetings can help minimize staff splitting and feelings of anger, helplessness, confusion, and frustration.

[fahad]

TYSM

[shewald78]

Excellent