When a client displaying acute mania is admitted to a psychiatric unit, what initial nursing
intervention should be planned?
a. Allowing the client to act out feelings because a safe environment can be
provided
b. Providing verbal instructions to the client to try to remain calm
c. Being accessible to set limits on client behavior as necessary
d. Restraining the client to reduce hyperactivity and aggression
C
This intervention provides support through the nurse's presence and provides structure as necessary
while the client's control is tenuous. Option A: Acting out may lead to loss of behavioral control.
Option B: Client will probably be unable to focus on instruction and comply. Option D: Restraint is
used only after other interventions have proved ineffective.
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