A client with bipolar disorder, mania, has flight of ideas and grandiosity and becomes easily agitated. To prevent harmful behaviors, which of the following should the nurse do initially?
1. Encourage the client to stay in his room.
2. Seclude the client at the first sign of agitation.
3. Tell the client to seek out staff when feeling agitated.
4. Instruct the client to ask for medication when agitated.
Initially, the nurse would tell the client to seek out staff when feeling agitated or upset to prevent violent episodes. Doing so helps the client to redirect negative feelings in an appropriate manner (eg, talking). Encouraging the client to stay in his room is inappropriate because it does not help the client to deal with his feelings. Secluding the client at the first sign of agitation is not indicated and may be perceived by the client as punishment. Instructing theclient to ask for medication when agitated would not be the initial course of action. The nurse would interact with the client and direct the client to an activity to decrease his anxiety before intervening with any required medication.
CN: Psychosocial integrity; CL: Synthesize
小编寄语：Life is to live beautifully and walk sonorously.人生，就要活得漂亮，走得铿锵。