Question

an adult female client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase. she is demanding and active. which intervention should the nurse include in this clients plan of care?

schedule her to attend various group activities.
reinforce her ability to make her own decisions.
encourage her to identify feelings of anger.
provide a structured environment with little stimuli.

Explanation:

Analyze clinical presentation of acute mania

A client in an acute manic phase of bipolar disorder is highly active, easily distracted, demanding, and hyper-responsive to environmental stimuli.

Evaluate therapeutic interventions for acute mania

• Group activities are overly stimulating and can exacerbate agitation or disrupt other clients.
• Clients in acute mania have impaired judgment, so reinforcing independent complex decision-making is inappropriate.
• Identifying feelings of anger is not the immediate priority for managing hyperactive, demanding behavior.
• Reducing environmental stimuli (low noise, low activity, structured routine) helps calm the overactive central nervous system and prevents escalation.

Answer:

• Schedule her to attend various group activities.
• Reinforce her ability to make her own decisions.
• Encourage her to identify feelings of anger.
• Provide a structured environment with little stimuli. (Correct answer)