When a client in the manic phase of bipolar disorder exhibits inappropriate dress, what should the nurse do?

When a client in the manic phase of bipolar disorder exhibits inappropriate dress, it is essential to approach the situation with both sensitivity and support. Assisting the client in choosing appropriate attire helps to address their immediate needs while also considering their mental state. In the manic phase, clients may exhibit impulsivity and poor judgment, which can lead to inappropriate choices regarding their clothing.

By escorting the client to her room and assisting her in selecting more appropriate attire, the nurse is providing a structured environment that fosters guidance and support. This approach not only addresses the issue of inappropriate dressing but also engages the client in a positive way, helping to maintain a sense of dignity and self-respect.

In contrast, merely telling the client to dress appropriately or asking her to change into hospital pajamas may not effectively address her current mental state or encourage her to make better choices. Additionally, instructing her to go to her room alone might lead to feelings of rejection or increased agitation, which could exacerbate her manic symptoms. The most compassionate and constructive option is to actively involve the client in her care while providing the necessary support and guidance to ensure she feels safe and understood.