The nurse is caring for a client with bipolar disorder in a manic state. Which of the following nursing interventions should be included in the plan of care
A. Allowing the client to exhibit hyperactive, demanding, manipulative behavior without setting limits.
B. Listening attentively with a neutral attitude and avoiding power struggles.
C. Offering high-calorie meals and ply encouraging the client to finish all food.
D. Insisting that the client remain active through the day so that he’ll sleep at night.
参考答案:B
解析:The nurse should listen to the client’s requests, express willingness to seriously consider the requests, and respond later. High-calorie finger foods should be offered to supplement the client’s diet, if he can’t remain seated long enough to eat a complete meal. The client shouldn’t be forced to stay seated at the table to finish a meal. The nurse should encourage the client to take short daytime naps because he expends so much energy. The nurse shouldn’t try to restrain the client when he feels the need to move around as long as his activity isn’t harmful. The nurse should set limits in a calm, clear, and self-confident tone of voice.