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    RN CARE HOPE MENTAL HEALTH HESI PROCTORED EXAM

    After meeting with a healthcare provider, a client who is diagnosed with bipolar disorder is screaming and stomping both feet while pacing the hallway. Which action should the nurse take?

    Explanation & Rationale

    A. Instructing the client to reduce the volume of his voice may not be effective during a manic episode and could escalate the situation. B. Accompanying the client to a quiet area of the unit provides a more supportive and calming environment, allowing the client to deescalate. C. Encouraging the client to attend a support group is a positive intervention but may not be immediately effective during an agitated state. D. Administering a PRN sedative by injection may be considered, but less restrictive interventions should be attempted first to promote a therapeutic environment.

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