Which client behavior should a nurse be concerned about in a client with acute mania?

Which client behavior should a nurse be concerned about in a client with acute mania?

• A. Increased sociability.
• B. Persistent physical activity.
• C. Loss of appetite.
• D. Inability to engage in conversation.

Answer: (B)

In the context of acute mania, persistent physical activity is a behavior of particular concern. This indicates an extreme state of overactivity, which can lead to physical exhaustion, injuries, or severe health complications. Clients experiencing acute mania may engage in relentless activities that are difficult to manage. This hyperactivity can compromise their ability to rest and may result in adverse effects such as dehydration or cardiovascular issues. In addition to physical risks, the persistent physical activity can also signal that the client is unable to self-regulate their energy levels, which is a hallmark of manic episodes. This relentless drive can interfere with their ability to focus on essential tasks or engage in meaningful interactions, potentially leading to further disorientation or distress. The other behaviors listed, like increased sociability or loss of appetite, while potentially concerning in context, do not carry the same immediate physical risks associated with persistent physical activity. Furthermore, an inability to engage in conversation might indicate a different issue, possibly related to mood stabilization, but does not directly reflect the manic state as starkly as excessive physical activity does. Thus, the persistent physical activity as a behavior is a critical indicator requiring nursing intervention for safety and health management.

In the context of acute mania, persistent physical activity is a behavior of particular concern. This indicates an extreme state of overactivity, which can lead to physical exhaustion, injuries, or severe health complications. Clients experiencing acute mania may engage in relentless activities that are difficult to manage. This hyperactivity can compromise their ability to rest and may result in adverse effects such as dehydration or cardiovascular issues.

In addition to physical risks, the persistent physical activity can also signal that the client is unable to self-regulate their energy levels, which is a hallmark of manic episodes. This relentless drive can interfere with their ability to focus on essential tasks or engage in meaningful interactions, potentially leading to further disorientation or distress.

The other behaviors listed, like increased sociability or loss of appetite, while potentially concerning in context, do not carry the same immediate physical risks associated with persistent physical activity. Furthermore, an inability to engage in conversation might indicate a different issue, possibly related to mood stabilization, but does not directly reflect the manic state as starkly as excessive physical activity does. Thus, the persistent physical activity as a behavior is a critical indicator requiring nursing intervention for safety and health management.