Marnie is a 16-year-old patient with bipolar disorder. She is manic right now and is in the hallway naked, making sexual requests of the staff and other patients. What is your best course of action?
A.
Quietly approach her, escort her to her room, and assist her in getting dressed.
B.
Quietly approach her, escort her to her room, and explain to her the inappropriateness of her actions.
C.
Approach her, confront her behavior as it is happening, and escort her to her room.
D.
Confront her behavior in the hall, apologize to the other patients, and escort her to her room.
ANS: A
With a patient in a manic state, the intervention should be calming with the emphasis on limit setting rather than confrontational and/or encouraging insight.
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