The nurse is planning care for a client with bipolar I disorder who is experiencing a manic episode.
Which of the following interventions should the nurse include in the plan of care?
The nurse is planning care for a client with bipolar I disorder who is experiencing a manic episode.
Which of the following interventions should the nurse include in the plan of care?
A. Attend group therapy while hospitalized
[12%]
B. Confront aggressive behavior
[9%]
C. Provide structured solitary activities
[55%]
D. Provide small, frequent low-calorie foods
[24%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Mental Health Concepts
Item Type
Item Type
Application
Explanation
Choice C is correct. Structured solitary activities such as riding on a stationary bicycle are appropriate. The client experiencing mania has difficulty focusing and solitary activities assist the client with their focus.
Choice A is incorrect. Group therapy is not appropriate for individuals experiencing mania. Mania severely impairs an individual to concentrate, engage in coherent conversations, and be productive. Therapy would be recommended once the manic episode has ceased.
Choice B is incorrect. Aggressive behavior should not be confronted. Confrontation would escalate the situation possibly leading to violence. The nurse should firmly redirect energy into more appropriate and constructive channels.
Choice D is incorrect. Providing frequent high-calorie foods is recommended because the client experiencing mania is recommended because the client is exerting a lot of energy. Small, frequent, high-calorie foods are recommended over three large meals.
Related Videos
2 Key Topics
Bipolar Disorder
32.3 Major Psychiatric Disorders
Additional Info
✓ For the client experiencing mania, hospitalization is likely because the client's insight and judgment are severely impaired, putting the client (or others) at risk for harm.
✓ For the client experiencing mania, the nurse should use a calm but firm approach and redirect any inappropriate behavior with distraction.
✓ Small, frequent, high-calorie meals are recommended because the client experiencing mania often burns many calories.
✓ The nurse should advise against group therapy until the manic episode terminates.
