Question

A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the last 2 weeks, the client has created 154 paintings, slept only 2 to 3 hours every 2 days, and lost 18 lb (8.2 kg). Based on Maslow's hierarchy of needs, what should the nurse provide this client with first?

1. The opportunity to explore family dynamics
2. Help with reestablishing a normal sleep pattern
3. Experiences that build self-esteem
4. Art materials and equipment

Answer 1

According to Maslow's hierarchy of needs, the nurse should first help the artist with bipolar disorder to (2) reestablish a normal sleep pattern, as this addresses the most fundamental physiological needs.

Step-by-step explanation:

The professional artist in question is displaying symptoms of a manic episode of bipolar disorder, such as high productivity in painting, decreased need for sleep, and significant weight loss. Based on Maslow's hierarchy of needs, the nurse should prioritize physiological and safety needs before addressing psychological or self-fulfillment needs.

Therefore, the nurse should first provide help with reestablishing a normal sleep pattern for the client. Sleep is a basic physiological need and lack of it can have serious health consequences. Furthermore, stabilizing sleep patterns can have a positive effect on mood stabilization and overall treatment outcomes for bipolar disorder.

Art materials and experiences that build self-esteem, while important for psychosocial needs and self-actualization, come later in Maslow's hierarchy after physiological and safety needs are met. Exploring family dynamics might also be beneficial but is not the most immediate need.