A nurse is planning care for a client who is experiencing acute mania. Which of the following actions should the nurse include in the plan of care?

A. Provide a flexible activity schedule: Clients experiencing acute mania often have high energy levels and may be unable to follow a flexible or self-directed schedule. Structured, brief, and supervised activities are more effective than a flexible schedule in managing behavior and ensuring safety. B. Provide high-calorie nutritional supplements: Clients in acute mania may be too hyperactive or distracted to consume adequate meals. Offering high-calorie supplements helps prevent malnutrition and weight loss by providing concentrated nutrition in a format that is easier for the client to consume amidst hyperactivity. C. Allow the client to eat meals alone in her room: Eating alone may increase the risk of inadequate intake because manic clients can be easily distracted or forget to eat. Supervised meals in a calm environment promote adequate nutrition and monitoring of intake. D. Allow the client to choose her clothes independently: While promoting autonomy is generally important, clients in acute mania may select inappropriate or unsafe clothing due to impaired judgment. Providing guidance or limiting choices temporarily ensures safety and appropriateness of dress.