A Client with a Co-Occurring Diagnosis of Alcoholism and Bipolar

A client with a co-occurring diagnosis of alcoholism and bipolar disorder was brought to the emergency department by two policemen for disorderly conduct. The client is intrusive and verbose about having diplomatic immunity and has a pressing need to tour the area to promote a bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and has almost always experienced alcohol withdrawal syndrome immediately after previous admissions. Which action is priority for this client?

A) Administer prescribed mood-stabilizing medications to control delusional thinking, since doing so will curtail the desire to drink.
B) Take baseline vital signs and then monitoring them on an ongoing basis to ascertain if the client is exhibiting early signs of alcohol withdrawal syndrome.
C) Suggest that the client refrain from being intrusive and annoying others with constant chatter about delusional thinking.
D) Refer the client to an outpatient community substance abuse treatment center, because the addiction has to be adequately addressed before bipolar problems can be effectively treated.