A client with mania is in the dining room at lunchtime and is observed taking food from other clients' trays. The nurse's intervention should be based on which rationale?
A) As soon as lunch is over, the client will calm down.
B) Other clients need to be protected from the intrusive behavior.
C) The client's behavior is not an imminent threat to anyone's physical safety.
D) The client needs food and fluids in any way possible.
B
Feedback: The nurse must set limits on this intrusive behavior because other clients have the right to be protected. The client is in the manic phase and may not calm down after lunch. Answers C and D are incorrect rationales for the situation.
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