Managing Manic Episodes in Clients with Bipolar Disorder

What should be the primary nursing intervention for a client with bipolar disorder in a manic state?

A. Administering sedative medication
B. Initiating group therapy sessions
C. Ensuring safety and monitoring physical health

Answer:

The primary intervention for a client with bipolar disorder in a manic state is ensuring safety and monitoring physical health.

In situations where a client with bipolar disorder is admitted to a psychiatric unit and exhibits signs of a manic episode, such as loud talking, rapidly walking back and forth, and a short attention span, the first nursing intervention should involve ensuring the safety of the client and others.

This could entail reducing external stimuli, offering a quiet and calm environment, and maintaining a simple communication approach due to the patient's short attention span.

Furthermore, it is crucial to monitor the client's physical health since manic episodes often involve a decreased need for sleep and nutrition. Observing for signs of exhaustion, dehydration, or other physical concerns helps determine any immediate medical needs.

Also, the client might not recognize the need for help or treatment due to manic episode euphoria, making hospitalization and professional intervention necessary.

Reducing stimuli and maintaining simple communication can help manage the patient's condition. Despite patient resistance, professional psychiatric intervention is often necessary due to potential hazardous behaviors.