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An OTR is working on an acute psychiatric unit when an individual demonstrating mania is admitted to the hospital. The individual seems irritable, distracted, and cannot sit still. What approach is the LEAST THERAPEUTIC when interacting with an individual who is experiencing an acute manic episode?

1) Encourage risk-taking behavior to promote confidence
2) Display an honest, accepting attitude
3) Provide clear expectations for behavior
4) Provide opportunities to engage in structured activities

User Clamp
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Final answer:

Encouraging risk-taking behavior is the least therapeutic approach when interacting with someone experiencing a manic episode.

Step-by-step explanation:

When interacting with an individual experiencing an acute manic episode, the least therapeutic approach would be to encourage risk-taking behavior to promote confidence. This could exacerbate the manic symptoms by increasing impulsivity and potential harm to the individual or others. Instead, a more therapeutic approach would include displaying an honest, accepting attitude, setting clear expectations for behavior, and offering opportunities to engage in structured activities. Structured activities can help to channel the excess energy and aid in focusing the individual's attention, which can be particularly challenging during a manic episode.

Additionally, providing a clear structure can help reduce anxiety and improve the capability to manage impulsive behaviors. It is also essential to recognize that neuroleptic drugs are often used to treat symptoms of psychosis and can help manage agitation, aggressive behavior, and thinking disorders by reducing initiative and displays of emotion. However, encouraging responsiveness and communication is still crucial in the therapeutic setting to aid recovery.

User Matthias Krull
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