A 26-year-old female patient reports 1 week of an elevated and expansive mood. Along with other symptoms, evidence of which of the following would suggest she is experiencing a hypomanic, not a manic, episode?
Decreased need for sleep
Irritability
Psychotic symptoms
Increased productivity at work
The Correct Answer is D
Choice A reason: Decreased need for sleep can be present in both hypomania and mania; it does not differentiate the two.
Choice B reason: Irritability is also common in both hypomanic and manic episodes and is not specific for hypomania.
Choice C reason: Psychotic symptoms, such as delusions or hallucinations, are indicative of mania, not hypomania.
Choice D reason: Increased productivity, heightened energy, and elevated mood without significant functional impairment or psychotic features suggest a hypomanic episode rather than full mania.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Mild dementia corresponds to lower SLUMS scores; a score of 30 is higher than the cutoff for mild impairment.
Choice B reason: Moderate dementia would present with a substantially lower SLUMS score.
Choice C reason: Severe dementia is associated with very low SLUMS scores well below 20.
Choice D reason: A SLUMS score of 30 indicates normal cognitive function, even considering lower education level.
Correct Answer is D
Explanation
Choice A reason: Remdesivir is an antiviral and is not commonly associated with mood disturbances such as mania.
Choice B reason: Albuterol can cause mild nervousness or tremor but rarely induces full manic episodes.
Choice C reason: Famotidine is an H2 receptor antagonist and is not associated with mania.
Choice D reason: Dexamethasone is a corticosteroid that can induce psychiatric side effects including mania, agitation, and psychosis, particularly in older adults or those with underlying vulnerabilities.
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