The nurse is continuing to care for the client. The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.
Explanation & Rationale
A. The client takes 2 short naps during the day: The ability to sleep, even in short intervals, indicates a reduction in manic hyperactivity and an improvement in the client’s overall rest and circadian regulation. B. The client appears to listen to unseen others: Persisting auditory hallucinations indicate ongoing psychotic symptoms, reflecting no improvement in the client’s mental status. C. The client consumes 8 oz of high-calorie fluids each hour: Increased oral intake demonstrates improved self-care, nutritional status, and ability to participate in treatment, reflecting stabilization from prior neglect of eating. D. The client slept 5 hr the previous night: Extended nighttime sleep suggests reduction of manic agitation and improved ability to rest, an important marker of therapeutic response to lithium and environmental management. E. The client engages in quiet activities in their room: Participation in solitary, low-stimulation activities indicates decreased impulsivity and hyperactivity, demonstrating improved focus and emotional regulation.