Difficulty: Medium
Average Score: 92%
Simulated
A client with bipolar disorder in a manic phase is pacing and talking loudly. Which nursing intervention is most appropriate?
Correct answer
B
Rationale
The correct answer is B: Offer a quiet environment and reduce stimulation. This intervention is most appropriate because individuals in a manic phase of bipolar disorder often exhibit increased energy levels and agitation. Providing a quiet environment helps to reduce external stimuli that may exacerbate the client's symptoms. This intervention promotes a calming atmosphere, which can help the client to regulate their emotions and behaviors. Encouraging group activities (choice A) may increase stimulation and worsen the client's symptoms. Administering a sedative (choice C) should not be the first-line intervention as it may have adverse effects and should only be used if the client is at risk of harm. Instructing the client to sit down and be quiet (choice D) may come across as confrontational and escalate the situation.