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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. While anxiety can be a normal response to stress, the context implies that the client is experiencing more than a typical reaction.
Choice B reason: This choice is incorrect. Anxiety is not necessarily an abnormal response; it can occur in normal situations but becomes problematic when excessive.
Choice C reason: This choice is incorrect. While anxiety does have physiological components, the question seems to be asking about the experiential nature of anxiety.
Choice D reason: This is the correct choice. Anxiety is indeed a sense of psychological distress that can be triggered by stress but is characterized by excessive worry, fear, or apprehension.
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