A patient with bipolar disorder commands another patient, "Change the television channel. Get me something to drink…," and so forth. The nurse wants to interrupt this behavior without entering into a power struggle with the patient

Select the nurse's best approach. a. Distraction: "Let's go to the dining room for a snack.".
b. Humor: "How much are you paying servants these days?"
c. Limit setting: "You must stop ordering other patients around.".
d. Honest feedback: "Your behavior is annoying other patients.".


A
The distractibility characteristic of manic episodes can assist the nurse to direct the patient toward more appropriate, constructive activities without entering into power struggles. Humor usually backfires by either encouraging the patient or inciting anger. Limit setting and honest feedback may incite anger.

Nursing

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