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.

A. Provide television programs with suspense to keep attention engaged: Stimulating content, such as suspenseful programs, can exacerbate agitation, hyperactivity, and distractibility in a client experiencing mania. Calmer, structured activities are preferred to help regulate mood and reduce overstimulation. B. Give concise and firm directions for hygiene and dressing: Clients in manic states often have difficulty focusing and following complex instructions. Clear, direct, and firm guidance helps ensure that essential self-care tasks are completed while minimizing confusion and frustration. Short, specific commands improve compliance and safety. C. Engage the client in competitive activities: Competitive activities may increase excitability, frustration, or aggression in clients experiencing mania. High-energy, competitive interactions can escalate risk-taking behaviors or impulsivity rather than channeling energy safely. D. Invite for a walk when client's energy is high: Physical activity such as walking provides a safe outlet for excess energy, helps reduce agitation, and promotes engagement without overstimulating the client. Structured, supervised activity supports both safety and therapeutic management of hyperactivity. E. Assign the client to a single room: A single room reduces environmental stimulation, limits distractions, and minimizes opportunities for inappropriate social interactions, including sexualized comments or impulsive behaviors toward staff or other clients. This intervention supports both client and staff safety.