NCLEX-PN

Category - Psychosocial Integrity

The nurse is caring for a client with bipolar disorder, who is in the manic stage. The nurse should include the following interventions in the care plan except:
  1. Schedule activities with fewer stimulations toward bedtime
  2. Weigh the client daily
  3. Offer large meals, at least three times daily
  4. Assess the client’s amount of rest
Explanation
Answer: C - Manic clients are often too busy to eat and may find it hard to sit still to finish an entire meal. To maintain good nutrition, the nurse should offer foods on the run, such as hamburgers and chicken sandwiches. Most manic clients experience insomnia, so the nurse should schedule activities with less stimulation toward bedtime. The client should be weighed daily because they are at risk for imbalanced nutrition during the manic stage. Most clients with mania are not capable of recognizing the need for rest.
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