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-Wanting to spend time with peers is not inherently indicative of continued suicidal intent. Adolescents often seek social connections, and while this behavior should be monitored, it is not a specific indicator of ongoing suicidal ideation.
B-While reluctance to discuss the event can be a concern, it doesn't automatically translate to continued suicidal thoughts.
C-Preferring to eat meals while watching TV is a relatively common behavior and does not directly correlate with suicidal intent. While changes in behavior should be noted, this alone is not a strong indicator of continued risk.
D-Giving away prized possessions, especially to loved ones, can sometimes be a sign of hopelessness or finality associated with suicidal ideation. It suggests the adolescent may be putting their affairs in order.
Correct Answer is D
No explanation
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