How should a nurse address inappropriate behavior exhibited by a client with acute mania?

Addressing inappropriate behavior in a client with acute mania requires clarity and firmness, while maintaining a therapeutic relationship. The correct choice emphasizes setting clear boundaries and provides direct information about what behaviors are unacceptable in the healthcare setting. By stating that telling sexual jokes and touching others is not permitted, the nurse is clearly communicating the limits of acceptable behavior in a straightforward manner. This approach helps the client understand that such actions are inappropriate and ensures that they recognize the standards of conduct expected in the treatment environment.

Inappropriate behaviors in manic clients often stem from their heightened mood and impulsivity, which can lead to risky or socially unacceptable actions. Clear communication regarding boundaries can help mitigate these behaviors and promote safety for both the client and others around them.

Addressing this issue with a strong, unequivocal statement prevents ambiguity about acceptable behavior, ensuring that the client understands the implications of their actions. This directness is essential in maintaining a safe therapeutic environment and can also help in managing the client's impulses.

The other options are less effective in handling the situation. They either downplay the severity of the behavior, lack clarity on what is acceptable, or suggest consequences without providing a clear rationale for the client's behavior and the need for boundaries.