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.

Choice A reason: Inviting the client for a walk channels excess energy into a safe, structured activity. This reduces agitation and helps manage hyperactivity without overstimulation. Choice B reason: Giving concise and firm directions is therapeutic because clients with mania often have difficulty focusing. Clear, simple instructions help maintain hygiene and self-care without overwhelming the client. Choice C reason: Competitive activities can increase agitation, impulsivity, and conflict in clients with mania. This intervention is contraindicated. Choice D reason: Suspenseful television programs may overstimulate the client, worsening hyperactivity and distractibility. Calm, non-stimulating activities are preferred. Choice E reason: Assigning the client to a single room reduces environmental stimuli and provides a safe space. This helps manage hyperactivity and inappropriate behaviors such as sexual comments.