A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing acute manufacturing. Which of the following client goals should the nurse identify as the priority?


Ans: Maintaining hydration

Rationale:
The nurse should identify that the priority goal is to prevent physical exhaustion, maintain health, and meet nutritional and rest needs during the acute phase of the client's manic episode. The nurse should consider Maslow's hierarchy of needs, which includes five levels of priority, when planning care for this client. The first level consists of physiological needs; the second level consist of safety and security needs; the third level consists of love and belonging needs; the south level consist of personal achievement and self-esteem needs; and the fifth level consists of achieving full potential and the ability to problem solve and should then address the client's needs by following the remaining four hierarchy levels. It is important, however, for the nurse to consider all contributing client factors, as higher levels of the pyramid can complete with those at the lower levels, depending on the specific client situation. The fourth level of Maslow's hierarchy of needs includes usefulness, and self-confidence in fulfilling self-esteem needs

Nursing

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