The nurse is planning care for a client admitted with a new diagnosis of bipolar disorder. During the manic phase of the disorder, the nurse plans interventions that decrease the risk for violence to others, which would include:
1. encouraging the client to join a basketball game.
2. encouraging the client to participate in group activities.
3. encouraging activities that minimize stimuli.
4. responding to agitation by restraining the client.
Answer: 3
1. Playing basketball could overstimulate the client. A walk with the nurse is more appropriate.
2. The client in the manic phase can become overstimulated easily, and group activities can contribute to the overstimulation.
3. Planning a calm, minimal-stimulus atmosphere can help protect others from violence.
4. Restraint is the last choice of action when a client becomes agitated. The nurse would employ the least restrictive means to defuse the situation.
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