Psychiatric Medications Q 3
When developing an initial nursing care plan for a male client with a Bipolar I disorder (manic episode) nurse Ron should plan to?
A. Isolate his gym time.
B. Encourage his active participation in unit programs.
C. Provide foods, fluids, and rest.
D. Discourage his participation in programs.
Correct Answer: C. Provide foods, fluids, and rest
The client in a manic episode of the illness often neglects basic needs, these needs are a priority to ensure adequate nutrition, fluid, and rest. Decreasing environmental stimulation may assist the client to relax; the nurse must provide a quiet environment without noise, television, and other distractions; finger foods or things the client can eat while moving around are the best options to improve nutrition.
Option A: A primary nursing responsibility is to provide a safe environment for the client and others; for clients who feel out of control, the nurse must establish external controls emphatically and nonjudgmentally. The nurse can direct their need for movement into socially acceptable, large motor activities such as arranging chairs for a community meeting or walking.
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. When possible, provide an environment with minimum stimuli (e.g., quiet, soft music, dim lighting). Reduction in stimuli lessens distractibility.
Option D: 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.