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 can exacerbate symptoms during the manic phase of bipolar disorder, as it may increase agitation, impulsivity, or overstimulation. Instead, a calm, structured environment is recommended to help stabilize the client’s mood and behavior. Choice B reason: Consistent unit routines provide predictability and structure, which are essential for clients in the manic phase. This helps reduce chaos, supports medication adherence, and promotes a sense of safety, aiding in mood stabilization. Choice C reason: Discouraging daytime napping is appropriate because excessive sleep during the day can disrupt the client’s sleep-wake cycle, potentially worsening manic symptoms. Encouraging a regular sleep schedule supports overall stability in bipolar disorder management. Choice D reason: Scheduling daily seclusion times is not a standard intervention for mania unless the client poses an immediate safety risk. Seclusion is typically a last resort and not a routine part of care, as it can increase agitation or feelings of isolation.