NCLEX · General

A nurse is caring for a client experiencing a manic episode (bipolar disorder). Which intervention is appropriate?

Correct answer

Provide a calm, low-stimulation environment and offer high-calorie finger foods the client can eat while moving

  1. A Encourage participation in highly stimulating group activities
  2. B Provide a calm, low-stimulation environment and offer high-calorie finger foods the client can eat while moving
  3. C Serve large sit-down meals
  4. D Engage the client in lengthy detailed conversations

Why this is the answer

For a client in a MANIC episode (hyperactivity, racing thoughts, poor judgment, distractibility, decreased need for sleep, risk-taking): provide a CALM, LOW-STIMULATION environment (reduces escalation); offer HIGH-CALORIE, easy-to-eat FINGER FOODS the client can consume WHILE MOVING (manic clients often can't sit still long enough to eat a full meal, risking poor nutrition/exhaustion); set limits calmly and consistently; ensure safety; promote rest. NCLEX psychosocial/mental health. AVOID highly stimulating activities (worsen mania), large sit-down meals (client won't sit), and lengthy/competitive interactions. Manic clients are at risk for exhaustion, dehydration, and injury due to constant activity. Knowing manic-episode interventions (low stimulation, portable high-calorie foods, safety) is a commonly tested NCLEX concept.
Source: NCLEX Psychosocial — Manic Episode Care

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