A nurse is caring for a client who exhibits grandiosity and impulsiveness. What should the nurse consider?

The presence of grandiosity and impulsiveness in a client is characteristic of a manic episode, particularly in the context of bipolar disorder. During a manic episode, individuals often display elevated mood, increased energy, and a sense of invincibility, which can lead to impulsive decision-making and actions. Grandiosity reflects an inflated self-esteem or unrealistic beliefs in one’s abilities, which is a hallmark feature of mania.

This understanding is crucial for the nurse as it informs the assessment and potential interventions needed for the client. Recognizing the symptoms of a manic episode allows for the appropriate and timely management of the situation, focusing on the safety and stabilization of the client. Interventions may include ensuring a calm environment, monitoring for safety, and collaborating with a psychiatrist for possible medication adjustments.

Other options do not align with the symptoms presented. Depressive episodes are characterized by low energy, feelings of worthlessness, and decreased activity. Immediate seclusion and restraint may be necessary in certain situations, but such measures should be considered only if the client poses an immediate risk to themselves or others. Symptoms of anxiety typically involve excessive worry and physical tension rather than the elevated mood and impulsivity seen in mania. Understanding these distinctions is vital for effective nursing care in mental health contexts.