A nurse is caring for a client who has bipolar disorder and is running around the unit asking people to dance with her. Which of the following interventions should the nurse take?
A.
Turn on a dance video so the client can burn off excess energy.
B.
Take the client outside and sit with her in the garden area.
C.
Observe the client closely for the development of aggressive behavior.
D.
Offer the client a low-calorie snack in return for stopping the behavior.
The correct answer and Explanation is :
The correct answer is:
C. Observe the client closely for the development of aggressive behavior.
Explanation:
In the context of bipolar disorder, especially during manic episodes, individuals can exhibit behaviors such as excessive energy, impulsivity, and restlessness. These behaviors can sometimes escalate into aggression or other disruptive actions if not managed properly.
Option A: Turn on a dance video so the client can burn off excess energy.
While allowing the client to engage in physical activity can be beneficial, this option does not address the potential risks associated with manic episodes, such as the development of aggressive behavior or safety concerns. It may also inadvertently reinforce the manic behavior rather than help manage it.
Option B: Take the client outside and sit with her in the garden area.
This option might seem soothing and could help in calming the client; however, during a manic episode, the client’s behavior might be unpredictable. Simply taking the client outside without closely monitoring her behavior might not be the safest approach, especially if there is a risk of escalating aggression or other problematic behaviors.
Option C: Observe the client closely for the development of aggressive behavior.
This is the most appropriate intervention because it allows for careful monitoring of the client’s behavior in real-time. During manic episodes, individuals with bipolar disorder can become aggressive or engage in risky behaviors. By observing the client closely, the nurse can quickly identify any signs of aggression or other issues, and take action to ensure safety and provide appropriate support. This proactive monitoring is crucial in preventing escalation and ensuring that the client remains safe and supported.
Option D: Offer the client a low-calorie snack in return for stopping the behavior.
Using food as a means to control behavior might not be effective or appropriate. It can also potentially lead to unhealthy associations between behavior and rewards. This approach does not address the underlying issues associated with the manic episode and might not help in managing the client’s behavior in a constructive way.
In summary, monitoring the client closely for any signs of aggression allows for timely intervention and ensures the client’s safety and the safety of others, making it the most effective and appropriate response in this scenario.