Substance Abuse and Abuse Q 7
The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client?
A. Ping pong
B. Writing
C. Chess
D. Basketball
Correct Answer: B. Writing
Solitary activities that require a short attention span with mild physical exertion are the most appropriate activities for a client who is exhibiting aggressive behavior. Writing, walks with a staff, and finger painting are activities that minimize stimuli and provide a constructive release for tension. Provide structured solitary activities with the assistance of a nurse or aide. Structure provides focus and security.
Option A: Ping-pong is a competitive sport. Provide frequent rest periods. Maintaining a low level of stimuli in the client’s environment (e.g., loud noises, bright light, low-temperature ventilation) helps minimize escalation of anxiety. Provide frequent high-calorie fluids (e.g., fruit shake, milk). Prevents the risk of serious dehydration.
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. When possible, provide an environment with minimum stimuli (e.g., quiet, soft music, dim lighting). Reduction in stimuli lessens distractibility.
Option D: Competitive games can stimulate aggression and increase psychomotor activity. 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.