When overhearing a client with acute mania making inappropriate sexual comments, what should the nurse do next?

Inviting the client to participate in an activity, such as a game of ping-pong, is a positive and constructive approach to managing a person with acute mania. Engaging the client in an activity can help redirect their energy and focus away from inappropriate behaviors, providing an alternative outlet for their heightened energy levels. Physical activities, like ping-pong, can encourage social interaction in a more structured and acceptable manner, promoting a sense of normalcy and reducing impulsive behaviors.

Redirecting the client’s attention to a game can also create an opportunity for the nurse to model appropriate social interaction and reinforce boundaries in a less confrontational and more enjoyable setting. This method can foster rapport and provide a safe environment for the client to express themselves while minimizing the risk of escalating inappropriate comments.

In contrast, ignoring the conversation may allow the inappropriate behavior to persist unchecked, and speaking to the client later in private or reprimanding them may not effectively address the behavior in the moment or could lead to potential feelings of shame or embarrassment. Engaging the client in a game promotes a proactive approach to managing their behavior while still providing necessary support.