Which principle is most useful and effective when interacting with a patient experiencing a manic episode?
a. Encourage the patient to freely express feelings.
b. Use a calm, matter-of-fact approach.
c. Do not interrupt the patient.
d. Frequently use silence.
B
A calm, matter-of-fact approach minimizes the need for the patient to respond defensively and avoids power struggles. Using this approach, the nurse conveys both control of the situation and empathy. The other options are not principles related to therapeutic interactions with a patient experiencing a manic episode. The distracters allow for manipulation of the nurse and for the patient to control the interaction.
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