A client is experiencing an acute manic episode and is pacing rapidly, speaking loudly and rapidly, and making grandiose statements. The client refuses to sit down for a meal. Which action should the nurse prioritize?
- AEncourage the client to join other clients in the dining room for social interaction.
- BProvide the client with a high-calorie, portable snack or finger foods.
- CAttempt to engage the client in a quiet, one-on-one conversation.
- DAdminister olanzapine (Zyprexa) as prescribed for agitation.
Show answer & explanationAnswer & explanation
Correct answer: B. Provide the client with a high-calorie, portable snack or finger foods.
During an acute manic episode, clients often have high energy levels, decreased need for sleep, and may be too distracted or agitated to sit for traditional meals. Providing high-calorie, portable snacks addresses their immediate physiological need for nutrition and energy while accommodating their inability to sit still. This aligns with Maslow's hierarchy, prioritizing physiological needs.
Why the other options are wrong
- A. Encouraging social interaction in a dining room may be overstimulating and unrealistic for a client in an acute manic episode, potentially increasing agitation.
- C. While therapeutic communication is important, during acute mania, the client's attention span and ability to engage in quiet conversation are severely limited.
- D. Administering medication is important for symptom management, but nutritional needs are also a priority and can often be addressed concurrently or immediately prior to medication taking full effect.
Manic Episode: Prioritizing Nutrition
During an acute manic episode, clients often burn excessive calories due to hyperactivity and may neglect eating. Prioritizing easily accessible, high-calorie, portable nutrition is crucial to prevent exhaustion and malnutrition.
- High energy expenditure.
- Distracted, difficulty sitting.
- Portable, high-calorie foods are best.
Memory trick: Energy Needs, Easy Feeds.