Question

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. which of the following interventions should the nurse include in the plan of care?

a. offer concise explanations
b. establish consistent limits
c. use a firm approach with communication

Answer 1

For a client experiencing a manic episode of bipolar disorder, it's important to offer concise explanations, establish consistent limits, and use a firm but respectful approach in communication.

Step-by-step explanation:

When planning care for a client who has bipolar disorder and is experiencing a manic episode, it is crucial to include interventions that address the specific challenges of mania. These should focus on managing the high energy, impulsivity, and potential for poor judgment that can characterize this phase of the disorder.

1. Offer concise explanations: During a manic episode, individuals can be easily distracted and may struggle with complex information. Keeping explanations simple and direct can help them understand and adhere to necessary treatment steps.
2. Establish consistent limits: Predictability and structure are calming during manic episodes. Setting clear, consistent limits can help manage impulsivity and provide a sense of safety and structure.
3. Use a firm approach with communication: A firm, confident approach can be effective in guiding behavior and setting a therapeutic tone. However, it is also important to balance firmness with compassion and respect for the individual's dignity.