What is a priority nursing intervention for a client with bipolar disorder experiencing a manic episode?

In managing a client with bipolar disorder who is experiencing a manic episode, closely monitoring the client's eating and sleeping habits is a pivotal nursing intervention. During mania, individuals often have altered sleep patterns, ranging from insomnia to excessive energy that prevents them from realizing the need for rest. This state can lead to significant physical and cognitive impairments. Additionally, patients may neglect their nutritional needs due to heightened activity, impulsivity, or a lack of focus.

By maintaining a vigilant watch over these habits, the nurse can help ensure that the client is receiving adequate nutrition and rest, which are essential for stabilizing mood and improving overall well-being. Monitoring can also provide early indications of potential complications, such as dehydration or malnutrition, and allows for timely interventions.

While other options may have their merits, they do not address the immediate physiological and psychological needs critical during a manic episode. Journal-keeping and permission for family visits, while potentially beneficial, do not prioritize the most pressing challenges that the individual may face during this heightened state.