A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Writes a detailed daily activity schedule

Isolates self from others

Reports a lack of sleep

Refuses to engage in conversation

Answer and Explanation

The Correct Answer is C

A.   Writing a detailed daily activity schedule may indicate organization and planning, which are not typically associated with acute mania.
B.   Isolating oneself from others could be a sign of depression rather than acute mania.
C.   Reporting a lack of sleep is characteristic of acute mania, as individuals in manic episodes often experience decreased need for sleep.
D.   Refusing to engage in conversation could be indicative of various factors, but it is not specific to acute mania.

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Correct Answer is C

Explanation

A. Encouraging the client to have the procedure disregards their autonomy and right to refuse treatment.
B. Obtaining consent from a family member is not appropriate if the client is capable of making their own decisions.
C. Informing the client of their legal right to refuse treatment respects their autonomy and allows them to make an informed decision about their care.
D. Requesting another nurse to review the procedure may be helpful for clarification but does not address the client's right to refuse treatment.

A. Blames others for own mistakes B. Has difficulty concentrating on set tasks C. Difficulty falling or staying asleep D. Holds persistent negative belief about self E. Talks excessively

Correct Answer is ["B","C","D"]

Explanation

A. Blaming others for one's own mistakes is not typically associated with PTSD. Individuals with PTSD may have heightened irritability or anger, but this does not necessarily translate to blaming others.
B. Difficulty concentrating on tasks is a common symptom of PTSD as individuals may be easily distracted by intrusive thoughts related to their trauma.
C. Difficulty falling or staying asleep is another symptom often reported by individuals with PTSD, which can be attributed to hyperarousal and intrusive thoughts.
D. Holding persistent negative beliefs about oneself is indicative of the negative alterations in cognition and mood associated with PTSD.
E. Talking excessively is not a common finding in PTSD. While some individuals may speak more when anxious, it is not a diagnostic criterion for PTSD.

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A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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