A nurse is caring for a client in a manic state of her Bipolar disorder. The client is dancing around the dayroom of the inpatient lounge. When she twirled her skirt it was obvious she was not wearing any underwear. The nurse enters the area and distracts her. She takes her to her room to put on underwear. Why did the nurse take this action?

A. The nurse’s primary concern is preventing the client from embarrassing herself due to the impulsive and disinhibited behaviors typical of a manic episode. B. There is no indication that dancing is prohibited; the issue is with inappropriate behavior. C. The focus of the action is not on sexual behavior but on ensuring the client is appropriately dressed in a social setting. D. Following policy is important, but the nurse’s action is more about protecting the client from social embarrassment.