In caring for a client with bipolar disorder experiencing mania, what should the nurse do?

When caring for a client with bipolar disorder who is experiencing mania, it is crucial for the nurse to frequently remind the client of the expectations for her behavior. During a manic episode, individuals may have an elevated mood, increased energy, and impaired judgment, which can lead to inappropriate or disruptive behavior. By providing clear and consistent reminders about behavioral expectations, the nurse helps the client understand the structure and limits needed for safety and effective treatment. This supportive framework can assist the client in recognizing boundaries and help them engage more positively in their care.

In contrast, encouraging the client to express feelings freely may lead to a lack of boundaries during a manic phase, while allowing the client to set her own schedule might result in erratic sleep patterns and further destabilization. Providing unlimited access to socialization with peers could also contribute to overstimulation, which is not beneficial during a period of mania. Establishing clear expectations serves to support the client’s safety and therapeutic progress.