Managing Acute Manic Episodes: Best Nursing Actions

TLDRIn this video, we discuss the best nursing actions to manage a patient with acute manic episodes. The patient becomes angry and disruptive during a group therapy session. Despite setting limits and stating that the behavior is inappropriate, the patient becomes verbally abusive and hostile. The best nursing action is to call for assistance from staff and escort the client to their room.

Key insights

🔒Setting limits and stating that the behavior is inappropriate is not enough to manage a patient with acute manic episodes.

🚨Assisting other clients in the group therapy session to safely leave the room is not the best nursing action as it does not address the disruptive behavior of the patient.

Calmly stating to the client that their behavior is not appropriate is a good initial response, but it may not be effective in managing escalating behavioral issues.

💡Letting the client know that they are not allowed to attend group therapy anymore is not the best nursing action as it may lead to power struggles and worsen the situation.

👩‍⚕️The best nursing action is to call for assistance from staff and escort the client to their room, ensuring the safety of both the patient and other clients.

Q&A

Why is setting limits and stating that the behavior is inappropriate not enough to manage a patient with acute manic episodes?

Patients with acute manic episodes often have impaired judgment and may not respond well to limits. They may become more agitated and hostile when faced with criticism or power struggles.

Why is assisting other clients in leaving the room not the best nursing action?

Assisting other clients in leaving the room may encourage the disruptive behavior of the patient, as they may see it as attention-seeking. The focus should be on addressing the patient's behavior.

Why is calmly stating to the client that their behavior is not appropriate not the best nursing action?

While calmly stating the inappropriateness of the behavior is important, it may not be effective in managing escalating behavioral issues. Additional interventions may be necessary to ensure the safety of the patient and others.

Why is letting the client know that they are not allowed to attend group therapy anymore not the best nursing action?

Denying the patient access to group therapy based on their behavior can lead to power struggles and worsen the situation. All patients have the right to receive treatment, even if their behavior is disruptive.

What is the best nursing action to manage a patient with acute manic episodes?

The best nursing action is to call for assistance from staff and escort the client to their room. This ensures the safety of the patient and other clients and allows for further assessment and intervention.

Timestamped Summary

00:00Introduction to managing acute manic episodes

04:20Explanation of the best nursing actions

08:32Analysis of the options and elimination of incorrect choices

10:42Identification of the best nursing action