A client is admitted to the behavioral health unit exhibiting symptoms of acute mania, including rapid pacing, loud and pressured speech, and impulsivity. The client continuously attempts to interrupt group sessions and intrudes on other clients' personal space. Which of the following nursing interventions should be included in the initial plan of care? Select all that apply.
- Provide the client with frequent, high-calorie finger foods and fluids.Answer
- Guide the client to a low-stimulation area away from the main milieu.Answer
- CEncourage the client to join a competitive group sport to expend excess energy.
- Communicate using short, concise, and firm statements.Answer
- EAsk the client why they feel the need to constantly interrupt others.
- FApply mechanical restraints to enforce periods of rest and prevent physical exhaustion.
Answer
The correct interventions are providing high-calorie finger foods, guiding the client to a low-stimulation area, and communicating with short, concise, and firm statements.
Appropriate care for a client in acute mania focuses on maintaining physical health, reducing environmental stimuli, and providing clear, structured communication. Supplying high-calorie finger foods ensures the client receives necessary nutrition while accommodating their inability to sit still. Moving the client to a low-stimulation environment decreases sensory overload, which helps de-escalate hyperactivity. Using short, firm, and concise statements compensates for the client's shortened attention span and provides unambiguous limits, ensuring safety and reducing confusion.
Step-by-Step Solution
Key Concept
Milieu Management and Therapeutic Communication for Acute Mania