A client with bipolar disorder who relapsed after discontinuing lithium has lost 5 pounds in the 4
days since hospitalization.
The nursing diagnosis of "imbalanced nutrition: less than body
requirements related to caloric intake insufficient to balance energy expenditure associated with
hyperactivity" has been established. The short-term indicator that should be used to evaluate
progress toward the desired outcome of "intake will be sufficient to maintain weight within normal
range for height and age" is
a. while in the acutely manic state, the client will drink 8 ounces of high-calorie,
high-protein drink hourly throughout the day.
b. the client will display consistently nonviolent behavior toward others on the unit
within 1 week with the aid of medications and nursing interventions.
c. the client will have competent medical assistance and legal protection when
signing any document regarding personal matters during hospitalization.
d. the client will consistently wear appropriate attire for age and sex within 1 week
while on the psychiatric unit.
A
High-calorie, high-protein food supplements will provide the additional calories needed to offset the
client's extreme hyperactivity. The other indicators are related to other nursing diagnoses that might
be established for a manic client.
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