A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Explanation & Rationale
A. Place the client in seclusion when they exhibit signs of anxiety: Seclusion is only indicated for clients who pose a risk of harm to themselves or others, not solely for anxiety. Using seclusion inappropriately can increase agitation and escalate manic behavior. B. Withdraw the client's TV privileges if they do not attend group therapy: Withholding privileges as punishment is nontherapeutic and can damage rapport. Clients experiencing mania may have impaired attention and judgment, so punitive measures are ineffective and may exacerbate symptoms. C. Encourage the client to take frequent rest periods: Clients in the manic phase often have decreased need for sleep and may become physically and mentally exhausted. Encouraging rest periods helps prevent fatigue, maintains physiological functioning, and supports overall stabilization during mania. D. Encourage the client to spend time in the dayroom: While socialization can be therapeutic for some clients, highly stimulating environments may worsen agitation and distractibility in clients experiencing mania. Controlled, low-stimulation settings are often more appropriate.