A patient hospitalized for bipolar disorder is sitting in the corner of the room with the lights off, staring into space. Three hours later, the patient is in the same position. What should the nurse say to the patient?
a. "Cheer up! Come on out and join us in a game!"
b. "Come with me. I'd like you join our group for a while."
c. "You won't make any progress if you stay in your room all the time."
d. "What's the matter? Don't you know you should be in your group right now?"
ANS: B
Saying "Come with me. I'd like you to join our group for a while," removes the patient from the situation and does not give him or her a choice. A is inappropriate. If the patient could cheer up, he or she would not be in the hospital. D. Asking what is the matter is also inappropriate—the patient does not likely know. C. Telling the patient he or she will not make any progress will cause feelings of guilt, which is not helpful.
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