Final answer:
A nurse should use a combination of Applied Behavior Analysis, participation in social skills groups, and possibly neuroleptic drugs to help a bipolar client develop social skills, while monitoring for side effects and collaborating with other healthcare professionals.
Step-by-step explanation:
When working with a client with bipolar disorder who is aggressive and disruptive in group and social settings, a nurse should consider integrating various strategies to develop the client's social skills. Initially, it would be important to provide a supportive and structured environment where the behaviors can be addressed safely. An initial approach could include Applied Behavior Analysis (ABA), which is designed to modify behavior in a step-by-step process, using positive reinforcement to encourage desirable behaviors while reducing undesired ones.
Additionally, participating in social skills groups can be very beneficial, as they offer an opportunity for the client to practice social interactions in a controlled setting. Depending on the severity of the symptoms, neuroleptic drugs might be considered to reduce aggressive and impulsive behavior, while careful monitoring for side effects such as drowsiness or reduced emotional expression. The nurse's role would include assessment, monitoring for medication effectiveness and side effects, and collaboration with other healthcare professionals, such as occupational therapists, to provide a comprehensive approach to care.