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Reviewed by a Psychiatric-Mental Health NP and a Family NP
NCLEX-RN · Psychosocial IntegrityPriority
A 24-year-old client is admitted in acute mania. They have not slept in three days, speak rapidly, pace constantly, and have eaten very little.Which nursing action is the priority?
  • AEncourage the client to join a group activity to release energy.
  • BOffer high-calorie finger foods the client can eat while moving.
  • CFirmly direct the client to rest quietly in their room.
  • DBegin detailed teaching about their lithium regimen.
Why B

In acute mania the client can't sit still long enough to eat a meal, so nutrition becomes the physiological priority. Finger foods meet that need without forcing them to stop moving.

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