Difficulty: Medium
Average Score: 78%
Simulated
A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)
Correct answer
A,B,D,E
Rationale
Correct Answer: A,B,D,E
Rationale:
A: Offering finger foods frequently helps meet nutritional needs as clients experiencing mania may have decreased appetite.
B: Weighing the client regularly helps monitor for potential weight loss or gain, a common issue in mania.
D: Maintaining a low-stimuli environment helps reduce overstimulation and agitation in clients with mania.
E: Discouraging naps during the day can help regulate the client's sleep-wake cycle and prevent exacerbation of mania symptoms.
Incorrect Choices:
C: Monitoring patient safety throughout the day is important but does not specifically address the unique needs of a client experiencing mania.
Rationale:
A: Offering finger foods frequently helps meet nutritional needs as clients experiencing mania may have decreased appetite.
B: Weighing the client regularly helps monitor for potential weight loss or gain, a common issue in mania.
D: Maintaining a low-stimuli environment helps reduce overstimulation and agitation in clients with mania.
E: Discouraging naps during the day can help regulate the client's sleep-wake cycle and prevent exacerbation of mania symptoms.
Incorrect Choices:
C: Monitoring patient safety throughout the day is important but does not specifically address the unique needs of a client experiencing mania.