Which nursing measure would be relevant to protecting the physiologic integrity of a client dur-ing a manic episode when marked hyperactivity is present?
1. Provide appropriate attire for client to wear.
2. Set firm limits on behavior injurious to others.
3. Obtain client weight daily at same time.
4. Use genuineness to develop a therapeutic alliance.
ANS: 3
Hyperactivity expends huge amounts of calories and interferes with caloric intake, thus resulting in rapid weight loss. Monitoring weight daily protects the client's physiologic integrity. The other options are concerned with psychosocial integrity.
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