The nurse and a client talk about the signs and symptoms of acute mania. The client states, "When I am feeling really good and don't need to sleep, I am manic, but the last thing I want is treatment." The nurse recognizes that this experience is indicative of the need for:

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A Psychiatric Advance Directive (PAD) is a legal document that allows individuals with mental illness to outline their preferences for treatment in advance of a crisis. In this scenario, the client's acknowledgment of their manic state and reluctance to seek treatment during such episodes indicates the need for a PAD to ensure their treatment preferences are respected even when they might not be in a state to make decisions.

The Nurse and a Client Talk About the Signs and Symptoms