When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention?
a. Allow the patient to act out feelings.
b. Set limits on patient behavior as necessary.
c. Provide verbal instructions to the patient to remain calm.
d. Restrain the patient to reduce hyperactivity and aggression.
ANS: B
This intervention provides support through the nurse's presence and provides structure as necessary while the patient's control is tenuous. Acting out may lead to loss of behavioral control. The patient will probably be unable to focus on instructions and comply. Restraint is used only after other interventions have proved ineffective.
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