Question

One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse would be therapeutic?

1. You're behaving in an unacceptable manner, and you need to control yourself.
2. If you continue to talk like that, no one will want to be around you.
3. You're disturbing the other clients. I'll walk with you around the patio to help you release some of your energy.
4. You're scaring everyone in the group. Leave the room immediately.

Answer 1

In a case of verbal aggression from a client with bipolar disorder, a compassionate, non-confrontational response that redirects behavior is therapeutic. Option 3 is best as it offers a way for the client to constructively release energy without alienation.

Step-by-step explanation:

A therapeutic response to a verbally aggressive client with bipolar disorder in a group therapy session would involve acknowledging the behavior while also providing a supportive avenue for the client to express themselves in a more constructive manner. Option 3, "You're disturbing the other clients. I'll walk with you around the patio to help you release some of your energy," is ideal as it addresses the issue without further escalating the aggression or making the client feel alienated.

It is important to take a compassionate approach that minimizes confrontation to avoid triggering further aggressive responses. Utilizing techniques such as displacement, which involves transferring behaviors onto a less threatening target (like walking), can be beneficial in these scenarios. The caregiver should aim to foster an environment where 'healthy talk' is encouraged, helping the client to express themselves safely.