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."
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: Engaging in activities might be too demanding during a panic atack and could potentially exacerbate the client's anxiety.
Choice B reason: While medication may be part of the treatment plan, the immediate priority is to ensure the client's safety and comfort, which is best achieved by staying with them.
Choice C reason: Offering therapy in the midst of a panic atack is not practical; the immediate need is to help the client feel safe and manage their acute symptoms.
Choice D reason: Staying with the client to assess their needs is the most appropriate immediate intervention to ensure safety and provide reassurance during a panic atack.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Akathisia is characterized by restlessness and a constant urge to move. It is a common side effect of antipsychotic medications.
Choice B reason: Neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic drugs and is not classified as an extrapyramidal symptom.
Choice C reason: Dystonia involves involuntary muscle contractions and spasms, often affecting the head and neck, and is a known extrapyramidal symptom.
Choice D reason: Tardive dyskinesia is marked by repetitive, involuntary movements, typically of the face and extremities, and is an extrapyramidal symptom that can occur after long-term use of antipsychotics.
Choice E reason: Pseudo-parkinsonism mimics symptoms of Parkinson's disease, such as tremors and slowed movement, and is an extrapyramidal side effect of antipsychotic medications.

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