Which of the following is a priority intervention for a patient who is experiencing an acute manic episode?

Correct Answer: A

Rationale: The correct answer is A: Providing a structured environment with clear boundaries. In an acute manic episode, patients may exhibit impulsive and unpredictable behavior. By providing a structured environment with clear boundaries, such as consistent routines and limits, the patient's safety and well-being are prioritized. This intervention helps prevent potential harm to the patient or others and promotes stability. Choice B is incorrect because allowing the patient to engage in risky behavior can be dangerous and reinforce negative behaviors. Choice C is incorrect because during a manic episode, the patient may not have the capacity to make sound decisions. Choice D is incorrect because reassuring the patient that their feelings are normal may not address the urgent need for safety and stability in the situation.

Correct Answer: C

Rationale: The correct answer is C: Administering pain medication as prescribed and evaluating effectiveness. This is the most appropriate intervention because it directly addresses the patient's chronic pain by providing relief through medication. By following the prescribed dosage, the nurse can ensure the patient's safety and effectiveness of the treatment. Monitoring the patient's response to the medication allows for adjustments if needed. Choice A is incorrect because avoiding exercise may worsen the patient's pain by leading to muscle stiffness and reduced mobility. Choice B, recommending alternative therapies like acupuncture, may be beneficial but it may not address the immediate need for pain relief. Choice D, providing distractions, may offer temporary relief but does not address the underlying cause of the chronic pain.

Correct Answer: B

Rationale: The correct answer is B because providing a safe, supportive environment for the patient to express their feelings is crucial in managing PTSD. This intervention promotes emotional processing and healing, validating the patient's experiences. Encouraging immediate discussion (A) may trigger distress; reassuring symptoms will improve (C) may invalidate the patient's feelings and delay seeking help; telling the patient to avoid thinking (D) can lead to avoidance behaviors worsening symptoms.

Correct Answer: D

Rationale: The correct answer is D: Countertransference. This relationship shows early signs of countertransference because the individual is projecting feelings and attitudes from their past relationship with their best friend onto Becky. The individual's desire to joke and laugh with Becky based on similarities to their best friend in high school indicates a potential unconscious emotional response. Countertransference occurs when the therapist or individual develops feelings or reactions towards the client based on their own unresolved issues or past experiences. In this scenario, the individual is experiencing countertransference by transferring emotions related to their best friend onto Becky. This can potentially impact the objectivity and effectiveness of the relationship. Summary: A: Accountability - Not relevant to the scenario. B: Self-reflection - Not applicable as the individual is not reflecting on their own behavior. C: Transference - Different from countertransference, as transference refers to the client projecting feelings onto the therapist, not the other way around.

Correct Answer: C

Rationale: The correct answer is C because an individual with bipolar disorder in the manic phase who has not eaten in 4 days is at risk of severe physical harm due to the lack of nutrition and potential medical complications. This situation meets the criteria for involuntary hospitalization to ensure the person's safety and well-being. A: This choice does not indicate an immediate risk of harm to self or others. B: While stopping antipsychotic medication is concerning, it may not warrant immediate involuntary hospitalization unless the individual is at risk of harm. D: Repeatedly phoning a TV broadcasting service does not indicate a need for involuntary hospitalization unless it poses a clear danger to oneself or others.