Registered Practical Nurse (RPN) Practice Test

During a psychotic episode, what is the priority of care to ensure safety?

1. Verbal de-escalation techniques

2. Antipsychotic medication

3. Psychotherapy interventions

4. Physical restraints

The correct answer is: Antipsychotic medication

In the context of a psychotic episode, the primary goal is to ensure the safety of both the patient and those around them. While antipsychotic medication can play a crucial role in stabilizing the patient's condition and reducing psychotic symptoms, the administration of these medications is often considered a priority because they have the potential for rapid impact on the patient's agitation and hallucinations. This choice emphasizes the importance of pharmacological intervention in acute scenarios where psychotic symptoms may pose an immediate risk of harm to the patient or others. Once the patient’s behavior is stabilized through medication, other supportive measures such as psychotherapy, verbal de-escalation, and the use of restraints, if absolutely necessary, can be considered in the ongoing management of the patient's care. Overall, initiating treatment with antipsychotic medication prioritizes safety by addressing the underlying psychotic symptoms that may lead to harmful behavior.