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. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.

A. Engaging the client in recreational activities. B. Requesting a prescription for an anti-anxiety agent. C. Oﬀering the client therapy to calm down. D. Remaining with the client to assess needs.

Correct Answer is D

Explanation

Choice A reason: Engaging the client in recreational activities may not be suitable during a panic atack as it might not address the immediate need for calm and safety.
Choice B reason: While medication can be helpful, the priority during a panic atack is to provide immediate, non- pharmacological support to ensure safety.
Choice C reason: Oﬀering therapy is beneficial but not the first-line intervention during an acute panic atack where immediate safety and reassurance are needed.
Choice D reason: This is the correct choice. The nurse should remain with the client to provide reassurance, assess their needs, and ensure safety during the panic atack.

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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

An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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