What is the first action a nurse should take when caring for a client experiencing a manic episode?

When caring for a client experiencing a manic episode, prioritizing the client's safety and well-being is crucial. The first action a nurse should take is to set clear boundaries immediately. This approach helps to establish a sense of structure and predictability for the client, who may be exhibiting impulsive and uncontrolled behavior due to the manic state.

Setting clear boundaries protects both the client and others in the environment from potential harm. It provides the client with guidance and limits within which they can operate, helping to reduce anxiety and agitation that can occur during a manic episode. Additionally, clear boundaries can help prevent situations where the client may engage in risky behaviors.

Encouraging rest, providing stimulants, or engaging in group activities, while they may seem beneficial at different stages of care, do not directly address the immediate need for safety and structure in a manic episode. Therefore, establishing and maintaining clear boundaries is the most appropriate initial action to support the client effectively.