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Question
a nurse in an acute mental health facility is caring for a client who is experiencing an acute manic episode. which of the following actions is the nurses priority? a. maintain the clients contact with her family b. discourage the clients use of vulgar language c. protect the client from impulsive behavior d. redirect excessive energy to creative tasks
In acute manic episodes, clients are at risk of harming themselves or others due to impulsive behavior. Protecting the client from such behavior takes precedence over other actions as it addresses the most immediate and potentially dangerous issue. Maintaining family contact, discouraging vulgar language, and redirecting energy are important but not the top - priority.
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C. Protect the client from impulsive behavior