A patient with acute mania has been verbally abusive to staff since admission 3 hours ago. The patient says, "I can't believe you have a nursing license. I am not answering your stupid questions. You should pick another career."
Select the nurse's best response. a. "I will return in a few minutes to continue the interview.".
b. "Your behavior is unacceptable. I expect an apology from you.".
c. "I will have to report your behavior to the health care provider.".
d. "I have a license to practice nursing, and I am entirely competent.".
A
Angry verbal attacks against staff by patients with mania are commonplace. Staff must realize verbal attacks are part of illness behavior rather than personal in nature. Arguing, explaining, and calling for apologies are counterproductive behaviors. Remaining neutral and allowing a cooling-down period will serve the nurse well. Because the patient's mood is labile, the patient may be willing to continue the assessment when the nurse returns.
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