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A 23-Year-Old Man Newly Diagnosed with Bipolar Disorder Was Admitted

question 671

Multiple Choice

A 23-year-old man newly diagnosed with bipolar disorder was admitted to the psychiatry unit 3 days ago. Since admission, he has spent all of his time at the nurses' station trying to convince the staff to discharge him. His speech is very loud and difficult to interrupt. He states that his roommate is "hitting" on him because of his good looks, and refuses to eat the food because it is not up to his standards. In addition, he is worried that he will miss his meeting with the President, which he says may cause the country to be forced into war. Despite attempts to redirect the patient, he becomes progressively more agitated and starts to verbally threaten the staff. He bangs on the desk at the nurses' station and throws a chair down the hallway. The patient is given emergency intramuscular haloperidol to decrease his agitation. A few hours later, the patient approaches the nurses' station screaming, "Something is wrong. Look what you did to me! I have been poisoned! Get me out of here immediately before I die!" Examination shows sustained upward deviation of the eyes and tilting of the neck to the right side. Which of the following is the most appropriate course of action?

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Cottage Cheese

A fresh cheese curd product with a mild flavor, characterized by small to large curd sizes.

Ice Cream

A frozen dessert typically made from dairy products, such as milk and cream, and often combined with fruits, flavors, or other ingredients.