A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

A. Discourage daytime napping. Clients in the manic phase of bipolar disorder may already have difficulty with sleep, and discouraging daytime naps could increase their irritability and fatigue. It is more important to maintain a regular sleep-wake schedule and promote relaxation techniques rather than strictly limiting naps. B. Have consistent unit routines. This is the most appropriate intervention. Clients in the manic phase of bipolar disorder often have difficulty with focus and impulsivity. Having a structured and consistent routine helps reduce confusion, provides a sense of stability, and can minimize overstimulation, which is important in managing mania. C. Provide a stimulating environment. This is not a recommended intervention. A stimulating environment can increase agitation, exacerbate manic symptoms, and lead to further distress. A calm, structured, and low-stimulation environment is more appropriate to help the client manage their symptoms. D. Schedule daily seclusion times. Seclusion should be considered a last resort, only if the client is at risk of harming themselves or others. It should not be part of the routine plan of care, as it can increase feelings of isolation, anxiety, and agitation. Less restrictive interventions should always be attempted first.