A patient with acute mania undresses in the group room and dances. The nurse's first intervention would be to:

a. quietly ask the patient, "Why don't you put on your clothes?"
b. firmly tell the patient, "Stop dancing, and put on your clothing."
c. put a blanket around the patient, and walk with the patient to a quiet room.
d. allow the patient stay in the group room. Move the other patients to a different area.


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 members to avoid argument and provide control is an effective approach.

Nursing

You might also like to view...

A nurse on a medical-surgical unit asks a licensed practical nurse (LPN) to help with nutritional assessments for newly admitted patients. What part of the nutritional assessment can be delegated to the LPN? Select all that apply

a. Height and weight b. Intake and output c. Nutritional history d. Interpreting laboratory findings e. Body fat measurement

Nursing

A man was badly hurt in a car accident caused by a drunk driver and was having a large amount of pain. The man cried, "What did I do to deserve this? I wasn't the one drinking." Which of the following would be the most appropriate response by the nurse?

a. "There is always a reason behind any accident and injury." b. "The pain will start to improve. You just need to give it some time." c. "I'm sorry you have so much pain. How have you been dealing with it?" d. "Can I get you more pain medication?"

Nursing

Upon entering the room, the client is found crying along with the client's spouse. The nurse decides to sit with both of them, offering presence and listening to their fears instead of the planned education. This is an example of which of the following?

1. Implementing nursing intervention 2. Determining the nurse's need for assistance 3. Supervising delegated care 4. Reassessing the client

Nursing

MC The sociocultural dimensions of an environment include which one of the following?

A. Individualized client care B. Fresh, healthful food C. Adequate light D. Adequate space

Nursing