The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply)

Choice A reason: Inviting the client for a walk channels high energy during mania into a safe, physical activity, reducing agitation and inappropriate behaviors. This intervention aligns with bipolar disorder management by redirecting energy constructively, supported by psychiatric nursing evidence, making it appropriate for the care plan.Choice B reason: Suspenseful television programs may overstimulate a manic client, increasing agitation and inappropriate behaviors. Calming, structured interventions like walking or clear directions are more effective. This choice risks escalating symptoms, making it incorrect for managing a client with bipolar disorder’s manic behaviors.Choice C reason: Concise, firm directions for hygiene and dressing provide structure, helping the manic client focus on essential tasks despite distractibility. This reduces inappropriate behaviors by setting clear expectations, aligning with therapeutic strategies for mania, making it a key intervention for the bipolar care plan.Choice D reason: Competitive activities may escalate agitation and impulsivity in a manic client, worsening behaviors like sexual comments. Non-competitive, calming interventions like walking are safer. This choice is inappropriate, as it risks increasing mania-related disruption, making it incorrect for the care plan.Choice E reason: Assigning a single room reduces stimuli and potential conflicts with others, providing a calmer environment for a manic client. This supports safety and minimizes inappropriate interactions, aligning with inpatient psychiatric care principles for bipolar disorder, making it an appropriate intervention for the care plan.