A patient in an acute psychiatric unit becomes increasingly agitated and shouts at other patients. Which nursing action best supports a safe therapeutic milieu?
Correct answer: A. Move the patient to a quieter area and speak calmly
- A. Move the patient to a quieter area and speak calmly
- B. Argue with the patient until the patient accepts the rules
- C. Ask several staff members to stand close around the patient
- D. Place the patient in seclusion before attempting communication
Explanation
Reducing environmental stimulation and using a calm, nonthreatening approach can lower arousal while preserving safety and dignity. Coercive measures are considered only when less restrictive interventions fail and there is an immediate risk of harm.
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About Foundations of Mental Health Nursing
Mental health nursing covers concepts of normal and abnormal behavior, major psychological theories, psychiatric assessment, the nurse’s therapeutic role, and the use of a safe therapeutic milieu. It also includes confidentiality, informed consent, patient rights, ethical decision-making, legal responsibilities, and individualized nursing care planning.
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