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. Placing the client in seclusion when they exhibit signs of anxiety is inappropriate for mania. Seclusion is a last-resort intervention used only when the client is an immediate danger to self or others and less restrictive measures have failed. Anxiety in mania is better managed through calm redirection, not isolation as a routine intervention. B. Withdrawing the client’s TV privileges if they do not attend group therapy is a punitive intervention and is not appropriate in psychiatric nursing. Clients with mania require non-punitive, structured, and supportive interventions. Punishment can increase agitation and worsen behavioral dysregulation. C. Encouraging the client to take frequent rest periods is the correct intervention. Clients experiencing mania have increased psychomotor activity, decreased need for sleep, and risk for exhaustion. Promoting rest helps reduce overstimulation, conserve energy, and stabilize mood. A calm, structured environment with scheduled rest is essential in care. D. Encouraging the client to spend time in the dayroom is inappropriate because the dayroom is typically highly stimulating. Clients in mania benefit from a low-stimulation environment to reduce agitation, not exposure to increased sensory input and social stimulation.