The nurse is caring for a client with bipolar disorder who is experiencing a manic episode. To assist the client in reducing the hyperactive behavior, what should the nurse do?
1. Engage the client in a quiet game of cards or puzzle solving.
2. Allow the client to set her own limits on behavior.
3. Provide a calm, quiet area for the client to sit or walk around in.
4. Encourage the client to get involved in a game of volleyball.
Answer: 3
1. Cards and puzzles require concentration, which is difficult for the manic person to do and can actually increase agitation.
2. People in a manic state are unable to safely set their own limits.
3. Providing a calm, quiet environment reduces excessive stimuli and helps the client to be less hyperactive.
4. Playing volleyball would probably cause more stimulation.
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