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    Rn Hesi Mental Health Proctored Exam 1
    Select All That Apply

    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.

    Explanation & Rationale

    A) Clients with bipolar disorder may benefit from clear, concise instructions to help maintain structure and routine. This intervention can help the client focus on tasks and reduce impulsivity. B) Competitive activities may exacerbate symptoms in clients with bipolar disorder, as they can intensify feelings of agitation or impulsivity. C) Clients with bipolar disorder may struggle with boundaries and may benefit from a quieter, more controlled environment to reduce stimulation and promote rest. D) Physical activity can help channel excess energy and reduce restlessness in clients with bipolar disorder. However, it's important to invite the client for a walk rather than engage in competitive activities to avoid exacerbating symptoms. E) Television programs with suspense may further stimulate the client and exacerbate symptoms such as impulsivity and distractibility. It's generally more beneficial to provide calming and soothing activities.

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