Personality and Mood Disorders Q 48

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An activity appropriate for the client with mania is:

  

     A. Table tennis

     B. Painting

     C. Chess

     D. Cleaning

    

    

Correct Answer: D. Cleaning

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The client’s excess energy can be rechanneled through physical activities that are not competitive like cleaning. This is also a way to dissipate tension. Maintain a low level of stimuli in the client’s environment (e.g., loud noises, bright light, low-temperature ventilation). Redirect violent behavior. Physical exercise can decrease tension and provide focus.

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Option A: Tennis is a competitive activity which can stimulate the client. When possible, provide an environment with minimum stimuli (e.g., quiet, soft music, dim lighting). Reduction in stimuli lessens distractibility.

Option B: When less manic, the client might join one or two other clients in quiet, non-stimulating activities (e.g., drawing, board games, cards). As mania subsides, involvement in activities that provide a focus and social contact becomes more appropriate. Competitive games can stimulate aggression and can increase psychomotor activity.

Option C: Solitary activities requiring short attention spans with mild physical exertion are best initially (e.g., writing, taking photos, painting, or walks with staff). Solitary activities minimize stimuli; mild physical activities release tension constructively.

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