Personality and Mood Disorders Q 70

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The charge nurse of a psychiatric unit is planning the client assignment for the day. The most appropriate staff to be assigned to a client with a potential for violence is which of the following:

  

     A. A timid nurse

     B. A mature, experienced nurse

     C. An inexperienced nurse

     D. A soft-spoken nurse

    

    

Correct Answer: B. A mature, experienced nurse

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The unstable, aggressive client should be assigned to the most experienced nurse. Maintain a consistent approach, employ consistent expectations, and provide a structured environment. Clear and consistent limits and expectations minimize the potential for the client’s manipulation of staff.

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Option A: The timid nurse may not be able to lay out consistent limits to an angry client. The client can use inconsistencies and value judgments as justification for arguing and escalating mania.

Option C: An inexperienced nurse may not know how to handle the situation appropriately. Using a calm and firm approach may provide structure and control for a client who is out of control.

Option D: A soft-spoken nurse may feel intimidated by the angry patient. Using short, simple, and brief explanations or statements is appropriate for the client. A short attention span limits understanding of small pieces of information.

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