A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take?

A. Frequently remind the client of the expectations for her behavior: Clients experiencing mania may have impaired judgment, impulsivity, and difficulty focusing. Repeated, calm reminders of behavioral expectations help set limits, maintain safety, and reduce the risk of disruptive or harmful actions while promoting structure in the therapeutic environment. B. Encourage the client to participate in a group activity in the dayroom: Group activities can be overstimulating for a client in the manic phase, increasing agitation, distractibility, and risk of conflict with others. Individual or low-stimulation interventions are safer and more appropriate during acute mania. C. Allow the client to pick her own choice of clothing: While autonomy is generally encouraged, a manic client may make choices that are socially inappropriate, unsafe, or erratic. Guiding clothing selections may help maintain dignity and safety without restricting personal expression entirely. D. Encourage the client to increase physical activity during the day: Although physical activity can be beneficial, clients in a manic state may already have excessive energy and impulsivity. Additional encouragement for activity could exacerbate agitation, increase risk of injury, and worsen overstimulation.