A nurse is caring for a client who is experiencing a manic episode. Other clients begin to complain about her disruptive behavior on the unit. Which of the following actions should the nurse take?
Ignore the client's behavior, realizing it is consistent with her illness.
Set limits on the client's behavior and be consistent in approach.
Ask the client to recommend consequences for her disruptive behavior.
Warn the client that further disruptions will result in seclusion.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. Giving the client choices of activities: While providing choices can be empowering for clients, it might be overwhelming for someone with severe depression, who may struggle with decision-making and motivation.
b. Playing a game of chess with the client: This could be too mentally demanding and may not be appropriate for a client with severe depression, who may have difficulty concentrating or engaging in complex activities.
c. Encouraging decision-making: Encouraging decision-making is important in general, but clients with severe depression may find it difficult and stressful to make decisions. This approach should be used cautiously and based on the client's readiness.
d. Spending time sitting with the client: This is correct and therapeutic. Spending time with the client without the pressure to engage in conversation or activities can help the client feel supported and understood. It fosters trust and shows that the nurse is there to provide support, which is especially important for someone experiencing severe depression.
Correct Answer is D
No explanation
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