A client with bipolar disorder tells the nurse about the need to make some deals to improve a retirement savings. Based on this information, which client outcome should the nurse include in the care?
Explanation & Rationale
Choice A reason: In bipolar disorder, manic episodes impair judgment, leading to impulsive financial decisions. Delaying business deals until mania subsides ensures sound decision-making, protecting the client’s financial stability. This outcome aligns with psychiatric care goals for mania, making it the most appropriate care plan inclusion.Choice B reason: Identifying feelings behind behavior is therapeutic but does not address the immediate risk of poor financial decisions during mania. Delaying decisions prevents harm, making this less critical and incorrect compared to prioritizing judgment stabilization in the client’s manic state.Choice C reason: Seeking legal counsel is practical but secondary to delaying decisions until mania resolves, as manic impulsivity drives risky behavior. Ensuring decisions are made in a stable state is the priority, making this incorrect for the primary outcome in managing bipolar financial impulsivity.Choice D reason: Describing financial fears may explore emotions but does not mitigate the risk of impulsive deals during mania. Delaying decisions addresses the immediate danger of poor judgment, making this less relevant and incorrect for the primary outcome in the client’s care plan.