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    Ati Lpn Mental Health Proctored Exam(Mood And Stress)

    A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason: Allowing free interaction worsens disruption and does not protect other clients’ rights to a therapeutic environment. Choice B reason: Threatening restraints is inappropriate and escalates agitation. Restraints are only used as a last resort for safety, not for excessive talking. Choice C reason: Escorting the client to her room removes her from the disruptive environment and provides a calmer space. This is the most appropriate intervention to manage manic behavior. Choice D reason: Practicing social interaction is useful in stable phases, but during acute mania the client cannot control excessive talking. This is not appropriate at this time.

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