A patient diagnosed with bipolar disorder becomes hyperactive ...

[clmills979]

A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?
 
  a. Stop that No one did anything to provoke an attack by you.
  b. If you do that one more time, you will be secluded immediately.
  c. Do not hit anyone. If you are unable to control yourself, we will help you.
  d. You know we will not let you hit anyone. Why do you continue this behavior?

Question 2

A patient diagnosed with acute mania has distributed pamphlets about a new business venture on a street corner for 2 days. Which nursing diagnosis has priority?
 
  a. Risk for injury
  b. Ineffective coping
  c. Impaired social interaction
  d. Ineffective therapeutic regimen management

[shailee]

Answer to Question 1

ANS: C
When the patient is unable to control his or her behavior and violates or threatens to violate the rights of others, limits must be set in an effort to de-escalate the situation. Limits should be set in simple, concrete terms. The incorrect responses do not offer appropriate assistance to the patient, threaten the patient with seclusion as punishment, and ask a rhetorical question.

Answer to Question 2

ANS: A
Although each of the nursing diagnoses listed is appropriate for a patient having a manic episode, the priority lies with the patient's physiological safety. Hyperactivity and poor judgment put the patient at risk for injury.

[clmills979]

Thank you

[shailee]

No problemo