A 28-year-old patient is brought to the emergency department by family members who report the patient has been exhibiting strange behavior for the past week. The patient appears agitated, claims to hear voices, and believes that the government is monitoring their thoughts. Which of the following interventions should the emergency nurse prioritize?
Challenge the patient's delusional beliefs
Apply physical restraints to ensure patient safety
Provide a calm, quiet environment with minimal stimulation
The correct answer is to provide a calm, quiet environment with minimal stimulation. Patients experiencing acute psychotic symptoms, such as those associated with schizophrenia, can be easily overwhelmed by sensory input. A calm, quiet environment helps reduce agitation and anxiety, potentially improving the patient's ability to communicate and cooperate with treatment.
While medication may be necessary, it is not the first priority and should be administered under physician orders. Restraints are a last resort and should only be used if the patient poses an immediate danger to themselves or others. Challenging the patient's delusions is counterproductive and can increase agitation and paranoia. Instead, the focus should be on creating a safe, supportive environment that allows for further assessment and appropriate intervention.
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Mental Health Emergencies
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