A client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change
What should be the nurse's initial intervention? A. Ask the group to take a vote on alternative weekend events.
B. Remind the client to quiet down or leave the dayroom.
C. Assist the client to move to a calmer location.
D. Discuss with the client impulse control problems.
C
During a manic episode, the client experiences increased agitation and extreme hyperactivity that can lead to a risk for injury. Overstimulation can exacerbate these symptoms. Therefore, the nurse's initial action should focus on removing the client from the stimulating environment to a calmer location.
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