Nurses' Notes
2210:
A client with bipolar I disorder is admitted during a manic episode. The client slept less than two hours nightly for three nights and remained continuously active. Speech is rapid, and the client changes topics before questions are completed. The client selected brightly colored clothing and several pieces of costume jewelry. The client announces, I will leave tonight and drive 120 miles per hour because my reflexes are perfect. The client walks rapidly in the hallway, redirects near the nurses' station, and maintains personal space when reminded. The client accepts a high-calorie sandwich and bottled water while continuing to move. After another client asks for quiet, the client lifts a chair and says it will be thrown if anyone interferes. The client describes plans for three new businesses and says every plan will succeed. A family member reports, the client can access a large savings account and plans to buy a sports car before morning. The client agrees to discuss prescribed medication in a quiet room with one staff member. The nurse moves other clients away, calls for assistance, reduces stimulation, and begins the facility's least-restrictive safety process.
Nurses' Notes
2210:
A client with bipolar I disorder is admitted during a manic episode. The client slept less than two hours nightly for three nights and remained continuously active. Speech is rapid, and the client changes topics before questions are completed. The client selected brightly colored clothing and several pieces of costume jewelry. The client announces, I will leave tonight and drive 120 miles per hour because my reflexes are perfect. The client walks rapidly in the hallway, redirects near the nurses' station, and maintains personal space when reminded. The client accepts a high-calorie sandwich and bottled water while continuing to move. After another client asks for quiet, the client lifts a chair and says it will be thrown if anyone interferes. The client describes plans for three new businesses and says every plan will succeed. A family member reports, the client can access a large savings account and plans to buy a sports car before morning. The client agrees to discuss prescribed medication in a quiet room with one staff member. The nurse moves other clients away, calls for assistance, reduces stimulation, and begins the facility's least-restrictive safety process.