You are the nurse working with a newly admitted client who is experiencing mania. This client has had several days of increased energy and constant activity

Question

Because patient agency is limited for this client, which of the following nursing interventions would be suggested by Dorothea Orem's self-care deficit theory of nursing? a. Encourage the client's idea of setting up a volleyball game.
b. Schedule brief, quiet one-on-one time and quiet time alone.
c. Do nothing, as the client's energy will decrease.
d. Include this client in group therapy.

Answer 1

B
Using Orem's self-care deficit theory of nursing, the nurse would recognize that a client experiencing mania would have limited patient agency. Limited patient agency would be a direct consequence of the amount of energy the client had exerted over the past several days. When experiencing mania the client most likely does not address nutritional needs or needs related to safety. The most appropriate nursing intervention would be to schedule brief one-to-one sessions and quiet time alone. If the client continued the current pace, exhaustion would occur. It is the nurse's role to assist the client with meeting basic needs as identified by Maslow.