A client is diagnosed with bipolar disorder and is currently experiencing a hypomanic episode. Select all the symptoms that could be present during a hypomanic episode.

Inflated self-esteem or grandiosity.

Marked impairment in social functioning.

Decreased need for sleep.

Flight of ideas and racing thoughts.

Psychotic features like delusions.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale:

Correct Choice Inflated self-esteem or grandiosity is a symptom commonly present during hypomanic episodes. Individuals experiencing a hypomanic episode often have an exaggerated sense of self-importance, believe they possess special abilities or talents, and may engage in grandiose plans.

Choice B rationale:

Marked impairment in social functioning is not a typical symptom of hypomanic episodes. While individuals in a hypomanic state may exhibit increased sociability, their social functioning is generally not impaired to the extent that it would be considered a defining characteristic of this episode. Hypomania is often associated with increased productivity and a generally positive mood.

Choice C rationale:

Correct Choice Decreased need for sleep is a symptom seen in hypomanic episodes. Individuals may feel rested with significantly less sleep than usual, yet they remain energetic and highly active. This is in contrast to depressive episodes where individuals often experience increased sleep and fatigue.

Choice D rationale:

Correct Choice Flight of ideas and racing thoughts are common symptoms of hypomanic episodes. Individuals may experience a rapid flow of thoughts, jumping from one idea to another quickly, and find it challenging to keep their thoughts focused on a single topic.

Choice E rationale:

Psychotic features like delusions are not typically associated with hypomanic episodes. Delusions are more commonly seen in severe manic episodes or mixed episodes where features of both mania and depression coexist.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale:

Dry mouth is a common side effect of many medications, but it is not a distinctive side effect of SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Dry mouth is more commonly associated with medications that affect salivary gland function, such as anticholinergic drugs.

Choice B rationale:

Weight loss can indeed be a side effect of SNRIs. These medications can impact appetite and metabolism, leading to weight loss in some individuals. However, it is not the most common or distinctive side effect when compared to other options.

Choice C rationale:

Constipation is a side effect that can occur with SNRIs, but it's not as prevalent or characteristic as some other side effects. Constipation is often associated with medications that have anticholinergic effects, which SNRIs generally have to a lesser extent.

Choice D rationale:

(Correct Choice) Insomnia is a well-known side effect of SNRIs. These medications can affect sleep patterns and may cause difficulties falling asleep or staying asleep. This side effect is particularly relevant to discuss with patients because it can impact their quality of life and overall well-being.

A. Orientation, memory, and attention. B. Physical vital signs and laboratory tests. C. Coherence, logic, and continuity of thought. D. Signs of confusion, disorientation, and amnesia.

Correct Answer is A

Explanation

Choice A rationale:

The correct answer is A, "Orientation, memory, and attention." Impaired judgment and poor insight can be indicative of cognitive dysfunction in bipolar disorder. Assessing orientation (awareness of time, place, and person), memory (short-term and long-term memory abilities), and attention (ability to focus and concentrate) can provide insights into cognitive deficits that may be contributing to impaired judgment.

Choice B rationale:

"Physical vital signs and laboratory tests" are essential assessments, but they are not directly related to the cognitive abilities of the client. They focus on physiological aspects rather than cognitive functioning.

Choice C rationale:

"Coherence, logic, and continuity of thought" are aspects of thought processes, not cognitive abilities like memory and attention. These are more relevant to assessing thought disorders or psychosis.

Choice D rationale:

"Signs of confusion, disorientation, and amnesia" are relevant to cognitive assessment, but this choice does not cover the breadth of cognitive abilities encompassed by choice A.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is diagnosed with bipolar disorder and is currently experiencing a hypomanic episode. Select all the symptoms that could be present during a hypomanic episode.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a patient about SNRI antidepressant medication. What is a common side effect of SNRIs that the nurse should include in the teaching?

Correct Answer is D

Explanation

A client with bipolar disorder is exhibiting signs of impaired judgment and poor insight. What should the nurse assess and document about the client's cognitive abilities?

Correct Answer is A

Explanation

A nurse is conducting an assessment of a patient with bipolar disorder. Which aspect of the patient's mental status should the nurse observe and document in relation to their mood state?

A client with MDD has been prescribed an SSRI antidepressant. The nurse should instruct the client to:

A nurse is assessing a client who is exhibiting symptoms of a manic episode. The client states, "I am the most important person in the world, and I have unique abilities that no one else possesses." What is the appropriate nursing response?

A client with bipolar disorder is prescribed an antidepressant medication as part of their treatment plan. Which of the following is an important consideration when administering antidepressants to individuals with bipolar disorder?

A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?

A nurse is assessing a patient with bipolar disorder. Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:

A client with bipolar disorder is prescribed a medication to reduce psychotic symptoms during manic episodes. Which class of medications is commonly used for this purpose?

A nurse is assessing a patient with bipolar disorder. Which aspect of the patient's psychosocial status should the nurse evaluate during the assessment?