A 33-year-old computer salesman was admitted to the hospital for hypomanic behavior. His wife states that he has always been aggressive and "can sell ice to people in Alaska." He has many interests and has had two promotions in the last year
For the past 2 weeks, he has worked night and day on a plan he believes will enable him to buy out most of the computer software companies. He is restless and talks constantly. Which of the following nursing interventions would have the highest priority in this client's immediate care? a. Discuss the reality of his business plans with him.
b. Encourage problem solving and responsible behavior.
c. Help him gain insight into feelings of low self-esteem.
d. Provide a structured, nonstimulating environment.
D
The priority nursing intervention for this client would be to provide a structured, nonstimulating environment. The environment should be free of objects that could be used to harm him- or herself or others and free of extraneous noise or stimulation. All verbal communication from the nurse should be short, concise, and clear. The client must be assisted with developing a slower pace than the one he has been experiencing over the past 2 weeks.
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