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학습 자료 둘러보기 →For a client in a severe manic episode with prolonged sleep deprivation and poor oral intake, the immediate priority is to prevent physical exhaustion and cardiovascular collapse. Address basic needs first: provide a calm, low-stimulation environment and offer finger foods and high-calorie fluids the client can consume while pacing.
Monitor vital signs closely. Tachycardia and hypertension are expected due to increased sympathetic activity, but a risk of dehydration and eventual cardiac strain exists. Maintain a firm but calm approach, using clear, simple sentences.
Do not attempt insight-oriented therapy or detailed teaching during acute mania. The client's cognitive function is impaired, and these interventions can increase frustration and agitation. Group activities are contraindicated due to overstimulation.
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