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?

Choice A reason: A stimulating environment would worsen manic symptoms by increasing agitation and distractibility. Choice B reason: Consistent unit routines provide structure and predictability, which help reduce overstimulation and promote stability in clients experiencing mania. This is the most therapeutic intervention. Choice C reason: Discouraging daytime napping may worsen fatigue and irritability. Rest periods are beneficial for clients in mania. Choice D reason: Daily seclusion is not appropriate unless the client poses a danger to themselves or others. Routine seclusion is not therapeutic.