Which nursing intervention is most therapeutic when the nurse is managing the aggres-sive, disruptive behaviors of a manic patient whose attempts to control the milieu has been rejected by the other patients?
a. Advising that the patient to accept the wishes of the group
b. Suggesting that the patient either quiet down or leave the room
c. Accompanying the patient to a quieter part of the unit
d. Ignoring the patient's outbursts because they are surly related to the mania
ANS: C
Escorting the patient to a less stimulating environment will assist the patient to remain in control of behavior. It is unlikely that the patient would respond to verbal suggestions to leave the area unaccompanied or accept the group's wishes and would likely see the sugges-tions as a threat that would further escalate the impending loss of control. The behavior can-not be ignored since it will likely lead to an acceleration of the mania.
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