Final answer:
The primary nursing diagnosis for a hyperactive manic patient during the acute phase is 'Risk for other-directed violence.' This diagnosis is due to the potential for harm to others caused by the patient's increased aggression and impulsivity. Management includes close monitoring and possible pharmacological intervention with neuroleptic drugs to reduce this risk.
Step-by-step explanation:
The priority nursing diagnosis for a hyperactive manic patient during the acute phase is c. Risk for other-directed violence. This diagnosis takes precedence due to the heightened potential for harm to others resulting from the patient's current state of agitation, impulsivity, and lack of control over their own actions.
During the acute phase of mania, patients may exhibit balance and posture problems, which can lead to accidental self-injury. However, the immediate concern is to prevent harm to others, as manic patients can be unpredictable and may display aggressive behaviors. The adminitration of neuroleptic drugs can play a critical role in reducing this risk by mitigating symptoms such as agitation and aggression, thus reducing the potential for violence.
It's important for healthcare professionals to closely monitor the patient, employ de-escalation techniques, and possibly intervene pharmacologically to ensure the safety of all individuals involved, including the patient, staff, and others in the healthcare setting. This could involve creating a safe environment, using restraints only when necessary, and administering medication tailored to the patient’s specific symptoms.