A patient demonstrating behaviors associated with acute mania has exhausted the staff by noon. Staff members are feeling defensive and fatigued. Which action should the staff take initially to prevent this issue?
Confer with the health care provider to consider use of seclusion for this patient.
Hold a staff meeting to discuss consistency and limit-setting approaches.
Explain to the patient that the behavior is unacceptable.
Conduct a meeting with all staff and patients to discuss the behavior.
The Correct Answer is B
A. Seclusion is a last-resort intervention, not an initial step.
B. Staff meetings to ensure consistent approaches, structure, and limit-setting prevent staff fatigue, reduce defensiveness, and provide therapeutic consistency for the client.
C. Confronting the patient directly about unacceptable behavior may escalate agitation and is not the most effective prevention strategy.
D. Group discussions with patients about one individual’s behavior would be inappropriate and non-therapeutic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Communication disorders involve difficulties with speech, language, or communication (e.g., stuttering, limited vocabulary). The main problem here is hyperactivity, not speech/language impairment.
B. ADHD is characterized by inattention, hyperactivity, and impulsivity. Behaviors such as being in constant motion, excessive talking, lack of sustained interest in activities, and getting up early with energy are hallmark signs of hyperactive/impulsive type ADHD.
C. Intellectual development disorder (formerly mental retardation) involves below-average intellectual functioning and impaired adaptive skills, not constant hyperactivity and excessive talking.
D. Stereotypic movement disorder is repetitive, purposeless motor behavior (e.g., hand flapping, head banging), not generalized hyperactivity and impulsivity.
Correct Answer is C
Explanation
A. Irritability involves anger, frustration, or easily annoyed behavior, which is not reflected in the patient’s joyful and playful actions.
B. Suspicious mood would include mistrust or paranoia, which is not evident in this patient’s behavior.
C. Euphoric mood is characterized by exaggerated feelings of well-being, elation, or joy, often with energetic and flamboyant behavior, as demonstrated by twirling, shadow boxing, and offering scarves as gifts.
D. Confidence refers to self-assurance and poise without the intense elation or overexcitement seen in euphoria.
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