A nurse is preparing to administer medications to a female client with bipolar disorder who is experiencing acute mania. Which of the following would be most appropriate for the nurse to do?
A) Tell the client firmly that she must take her medication.
B) Allow the client to participate in the treatment decision.
C) Restrain the client before administering the medication.
D) Notify the physician about the client's refusal of the medication.
Ans: B
Even during the most acute episodes, it is important for clients to have a sense of empowerment and participation in treatment. Therefore the nurse would allow the client to participate in treatment decisions. Telling the client firmly that she must take the medication or restraining her would be inappropriate. Notifying the physician would be appropriate only if the client continued to refuse to take the medication after allowing her to participate in the decisions.
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