A client with admitted with a diagnosis of bipolar disorder continues to exhibit acute mania. During a unit meeting she begins cursing and throwing books around the dayroom
The MOST appropriate intervention by the nurse would be which of the following? a. Set limits on the client's behavior.
b. Allow the client to vent her feelings.
c. Ignore the behavior and continue with the meeting.
d. Call hospital security to help place the client in restraints.
A
The most appropriate action by the nurse would be to set limits on the client's behavior. Limit setting is a priority strategy used in the effective management of the milieu. Because the client is in a manic stage, she is displaying poor judgment. The nurse would set limits to protect the client as well as others in the group.
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