A patient with acute mania has slept for two nights, is loudly demanding discharge, and repeatedly enters other patients’ rooms. Which nursing intervention is most appropriate?
Correct answer: A. Reduce stimulation and set clear, consistent limits
- A. Reduce stimulation and set clear, consistent limits
- B. Allow unrestricted activity to use the patient’s energy
- C. Argue about the patient’s unrealistic plans
- D. Keep the patient awake for a longer assessment
Explanation
A low-stimulation environment and clear limits reduce escalation while protecting the patient and others. Arguing and allowing unrestricted activity can increase stimulation, and sleep deprivation may worsen manic behaviour.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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