Within a 15-minute period, a patient having a manic episode voices these complaints
"Dinner was cold. The bath towels are rough. The solarium is too hot. I have a sore throat. Another patient needs a shower. The medication nurse is too slow." The nurse should:
a. listen but ignore the patient's complaints.
b. tell the patient to use the suggestion box.
c. assess the patient's throat, and take vital signs.
d. invite the patient to share the concerns at the community meeting.
C
The hypercritical manic patient offers so many complaints that it is easy to discount his or her concerns. Legitimate complaints should always be investigated, however. By listening and ignoring complaints, the nurse might fail to intervene to provide care. Telling the patient to use the suggestion box or asking him to share his complaints at the community meeting are placating and may anger the patient.
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