A patient is increasingly tense, pacing the hall and glaring ...

[elizabeth18]

A patient is increasingly tense, pacing the hall and glaring angrily at others. Select the nurse's best comment to this patient.
 
  a. It looks as though you are feeling upset. Please tell me what's concerning you.
  b. I can see you are on the verge of losing control. What can I do to help you?
  c. You must maintain control of your feelings even if you are feeling angry.
  d. I'm going to give you an injection of your medication to prevent loss of control.

Question 2

Which assessment findings validate that a patient with bipolar disorder is experiencing mania? Select all that apply.
 
  a. Pacing
  b. Agitation
  c. Drowsiness
  d. Delusional thoughts
  e. Psychomotor retardation

[smrerig]

Answer to Question 1

A
In the triggering phase the patient's behaviors are nonviolent and present no immediate danger to others. The nurse should convey empathic support and encourage ventilation using clear, calm, and simple statements.

Answer to Question 2

A, B, D
Agitation, increased motor activity (pacing), and delusional thoughts may all accompany mania. The patient with mania would have an increased level of alertness rather than drowsiness. Psychomotor retardation would be expected with depression.

[elizabeth18]

Excellent

[bimper21]

Gracias!