A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
A. Serve high-calorie foods she can carry with her
B. Encourage her appetite by sending out for her favorite foods
C. Serve her small, attractively arranged portions
D. Allow her in the unit kitchen for extra food whenever she pleases
Correct Answer: A. Serve high-calorie foods she can carry with her
The client with mania is seldom sitting long enough to eat and burns many calories for energy. Finger foods or things a client can eat while moving around are the best options to improve nutrition. Decreasing environmental stimulation may assist the client to relax; the nurse must provide a quiet environment without noise, television, and other distractions.
Option B: The client should be treated the same as other clients. Frequently remind the client to eat (e.g.,Rob, finish your pancake”, “Sandra, drink this apple juice.”). The manic client is unaware of bodily needs and is easily distracted. Needs supervision to eat.
Option C: Small meals are not the correct option for this client. Encourage frequent high-calorie protein drinks and finger foods (e.g., sandwiches, fruit, milkshakes). Constant fluid and calorie replacement are needed. The client might be too active to sit at meals. Finger foods allow “eating on the run”.
Option D: Allowing her into the kitchen gives her privileges that other clients do not have and should not be allowed. Monitor intake, output, and vital signs. Ensures adequate fluid and caloric intake; minimizes dehydration and cardiac collapse.