A loud, hyperverbal, hyperactive client admitted with bipolar disorder, manic phase, has been on the unit for 2 days. The other clients are planning their weekend activity when this client inter-rupts and insists that they change their plans to a disco pa
The client curses and becomes louder when the disco idea is rebuffed. The preferable nursing in-tervention would be to:
1. Ask the group to reconsider the suggestion
2. Tell the client to quiet down or leave the room
3. Accompany the client to a quieter place
4. Ignore the outburst because it is related to mania
ANS: 3
Escorting the client to a less stimulating environment will assist the client to remain in control of behavior. It is unlikely that the client would respond to verbal suggestions to go to her room un-accompanied. 1. This intervention does not address the client's behavior. 2. The client would probably perceive this as a threat that would further escalate the impending loss of control. 4. An intervention is called for if the client's behavior is to be deescalated.
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