A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care?

Introduction: The management of acute mania prioritizes the maintenance of physical safety and physiological integrity by addressing the client's psychomotor agitation and high metabolic demands through non-restrictive, portable nutritional support. A. Encouraging participation in group activities is contraindicated during an acute manic phase. The high level of environmental and social stimulation can increase the client's agitation and impulsivity. The nurse should instead provide solitary, low-stimulus activities that do not require intense concentration or complex interpersonal interaction. B. Offering high-calorie, nutrient-dense finger foods is a critical intervention because manic clients are often in constant motion and cannot sit still for traditional meals. This strategy prevents nutritional deficits, dehydration, and physical exhaustion by allowing the client to maintain intake while pacing or moving about the unit. C. Keeping the client awake during the daytime is not a therapeutic goal in mania. In fact, manic clients frequently suffer from a total lack of sleep, which exacerbates their symptoms. The nurse should implement a quiet environment and rest periods to encourage any amount of sleep possible to aid in stabilization. D. Minimizing limit-setting is inappropriate and unsafe. Manic clients often exhibit intrusive, aggressive, or sexually inappropriate behaviors. The nurse must establish and maintain consistent, firm, and clear boundaries to ensure the safety of the client, other patients, and staff, while preventing the client from engaging in self-harming social behaviors.