A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

"You need to tell those other patients to be quiet so I can sleep."

"I feel really tired today, I'm gonna just rest for a while."

"Look at my new purple hat; it goes well with my zebra-striped pants."

"I can't go to therapy looking like this; my hair is a mess."

Answer and Explanation

The Correct Answer is C

Choice A reason: This choice is incorrect. Requesting quiet to sleep does not necessarily support a diagnosis of a manic episode.
Choice B reason: This choice is incorrect. Feeling tired and wanting to rest is not indicative of a manic episode, which is typically characterized by increased energy and activity.
Choice C reason: This is the correct choice. The statement about the purple hat and zebra-striped pants suggests a lack of awareness of social norms and possibly grandiosity or ﬂamboyance, which can be indicative of a manic episode.
Choice D reason: This choice is incorrect. Concern about appearance does not specifically support a diagnosis of a manic episode.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. The client's belief that "They're out to get me" is indicative of paranoia, a common symptom in schizophrenia.

Choice B reason: This choice is incorrect. Stilted language refers to an unnatural, formal way of speaking, not suspicion or guardedness.

Choice C reason: This choice is incorrect. Pressured speech is rapid and urgent speech, which is not described in the scenario.

Choice D reason: This choice is incorrect. Autistic thinking is associated with autism, not schizophrenia, and does not involve paranoia.

A. "You will feel beter tomorrow." B. "I'll sit here with you for a while." C. "I am sorry you feel sad." D. "Would you like to talk?"

Correct Answer is A

Explanation

Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.

Choice B reason: This choice is appropriate as it oﬀers support and presence, which can facilitate communication.

Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.

Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.

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A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

Correct Answer is A

Explanation

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

Correct Answer is A

Explanation

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

When conducting a risk assessment for suicide, the nurse most likely identifies which client as having the greatest risk for completing suicide?

A psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?