Question

A manic patient under hospital supervision became aggressive and injured another patient. The primary health care provider advises that the patient be put in seclusion. What measures should the nurse take while secluding the patient? Select all that apply.

a. Keep any instructions to the patient brief.
b. Document the patient's behavior every hour.
c. Assure the patient that the seclusion is temporary.
d. Ensure that no one is with the patient during seclusion.
e. Give detailed explanation for the seclusion to the patient.

Answer 1

The nurse should keep instructions brief, document the patient's behavior every hour, and ensure that no one is with the patient during seclusion.

Step-by-step explanation:

When secluding a patient, the nurse should:

• Keep any instructions to the patient brief: This is important to avoid overwhelming the patient in a stressful situation.
• Document the patient's behavior every hour: By documenting the behavior, the nurse can monitor any changes or improvements in the patient's condition.
• Ensure that no one is with the patient during seclusion: This is necessary to maintain safety and prevent any further harm to others.

It is not necessary to give a detailed explanation for the seclusion to the patient or assure them that it is temporary. The focus should be on ensuring the safety and well-being of both the secluded patient and others in the healthcare facility.