A nurse is providing teaching to a client who has an alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?

Choice A reason:

Moving the client to a room closer to the nurse's station is a non-invasive measure that allows for closer observation and quicker intervention if the client's condition worsens. It provides safety without compromising the client's autonomy or dignity.

Choice B reason:

Applying wrist and leg restraints is generally considered a last resort due to the potential for physical and psychological harm. Restraints can increase agitation and confusion, and they carry a risk of injury. They should only be used when less restrictive measures have failed and the client is at immediate risk of harm to themselves or others.

Choice C reason:

Administering medication to sedate the client may be appropriate in certain situations, but it should not be the first action taken. Sedation can mask underlying conditions and may lead to further complications. It is important to assess the cause of the client's restlessness and confusion before considering sedation.

Choice D reason:

Calling the family to ask them to stay with the client can provide comfort and may help to orient the client. However, this may not always be feasible, and it does not address the immediate safety needs of the client in the same way that moving them closer to the nurse's station does.

Choice A Reason:

Impulsive behaviors are a hallmark of manic episodes in bipolar disorder. During mania, individuals often exhibit poor judgment and engage in risky activities without considering the consequences. This can include spending sprees, reckless driving, or making hasty decisions.

Choice B Reason:

Sleeping for long periods of time is more indicative of a depressive episode rather than a manic episode. During mania, individuals typically experience decreased need for sleep and may feel energized despite getting very little rest.

Choice C Reason:

Interacting with others in a flirtatious way is a common behavior during manic episodes. Individuals may exhibit increased sociability, hypersexuality, and inappropriate or provocative behavior. This heightened sociability and flirtatiousness are often out of character for the individual when they are not experiencing mania.

Choice D Reason:

Dressing in black or grey clothing is not specifically associated with manic behavior. While changes in appearance can occur during mood episodes, the color of clothing is not a reliable indicator of mania. Manic episodes are more characterized by behaviors and mood changes rather than specific clothing choices.

Choice E Reason:

Talking in rapid, continuous speech, also known as pressured speech, is a classic symptom of mania. Individuals may speak quickly, loudly, and incessantly, making it difficult for others to interrupt or follow the conversation. This symptom reflects the heightened energy and racing thoughts typical of manic episodes.