Which of the following actions would the nurse include in planning care for a client hospitalized for bipolar disorder, acute manic episode? Select all that apply.

Question

Quizplus · Accepted Answer

In developing a care plan for a client experiencing acute mania, the nurse is aware that an acute manic episode is characterized by the following: Excessive psychomotor activity Euphoric mood Poor impulse control Flight of ideas, non-stop talking Poor attention span, distractibility Hallucinations and delusions Insomnia Wearing bizarre or inappropriate clothing, jewelry, and makeup Neglected hygiene and inadequate nutritional intake The care plan for a client experiencing an acute manic episode includes the following: Reduction of environmental stimuli Providing a quiet, calm environment Limiting the number of people who come in contact with the client One-on-one interactions rather than group activities Low lighting A structured schedule of activities to help the client stay focused Physical activities to help relieve excess energy Providing high-protein, high-calorie meals and snacks that are easy to eat Setting limits on behavior (Option C) The client is easily distractible and would not be able to focus on planning an activity. (Option D) The client who is experiencing an acute manic episode needs reduced environmental stimuli. Eating with other clients in the dining room would be too stimulating and could exacerbate psychomotor activity. (Option F) The client with acute mania is not ready to participate in group activities. Educational objective: The nursing care plan for clients with acute mania includes providing a quiet, structured, non-stimulating environment; engaging the client in one-on-one activities and physical activity; limiting contact with other people; and providing foods of high nutritional value that are easy to eat.

Which of the Following Actions Would the Nurse Include in Planning