The nurse is planning the care for a client who is hospitalized with 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. Invite for a walk when client's energy is high: Clients with bipolar disorder in a manic phase have increased energy and may become restless or agitated. Allowing safe, structured physical activity such as walking helps expend energy, reduces risk of injury, and channels hyperactivity into a controlled environment, promoting safety for the client and others. B. Assign the client to a single room: A single room provides a controlled and low-stimulation environment, which is essential for managing irritability, sexualized behavior, and overactivity. It minimizes interactions with other clients, reducing the risk of conflict, harassment, or overstimulation that could exacerbate manic behaviors. C. Give concise and firm directions for hygiene and dressing: Manic clients often have difficulty focusing and following complex instructions due to distractibility and racing thoughts. Providing clear, simple, and firm directions supports self-care while reducing frustration and promoting compliance with necessary daily activities. D. Provide television programs with suspense to keep attention engaged: Stimulating or suspenseful television can increase arousal and exacerbate manic symptoms, leading to further agitation, hyperactivity, or distractibility. Low-stimulation activities are safer and more effective for managing mania. E. Engage the client in competitive activities: Competitive activities may increase excitement, impulsivity, and risk-taking behaviors in a manic client. They can heighten agitation, aggression, or hypersexual behaviors and are not appropriate for therapeutic management during acute mania.