For a client with bipolar disorder in an acute manic episode, which activity should the nurse suggest?

In the context of a client experiencing an acute manic episode related to bipolar disorder, suggesting an activity that allows for both physical movement and social interaction is particularly beneficial. Taking a walk with a staff member meets these criteria. This activity allows the client to expend some energy, which is often heightened during a manic episode, while also providing a structured environment where they receive support and monitoring.

Engaging in solitary or quiet activities, like reading a book or doing crafts, could lead to increased isolation or agitation, as individuals in a manic state may struggle to focus or enjoy such activities. Additionally, group discussions may not be suitable due to the potential for heightened energy and distractibility that can disrupt group dynamics, making it challenging for the individual to engage appropriately in conversations. Therefore, a walk, which promotes physical activity and provides a supportive context, serves as an ideal suggestion for managing the symptoms of an acute manic episode.