A nurse is assessing a client who has mania. Which of the following manifestations is the priority for the nurse to report to the provider?
Pressured speech
Impaired problem-solving
Increased self-confidence
Constant activity
The Correct Answer is D
Choice A reason: Pressured speech is a common symptom of mania but does not pose an immediate safety risk. It may interfere with communication but is not the most urgent concern.
Choice B reason: Impaired problem-solving affects decision-making but is not inherently dangerous unless it leads to risky behavior. It is important but not the top priority.
Choice C reason: Increased self-confidence may reflect grandiosity, which is typical in mania. Unless it leads to dangerous behavior, it is not the most critical issue.
Choice D reason: Constant activity can lead to exhaustion, dehydration, and injury. It reflects psychomotor agitation and poor impulse control, which may escalate into harmful behaviors. This symptom requires immediate intervention to prevent physical harm.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Progressive muscle relaxation may help reduce anxiety, but it requires a level of cognitive and emotional awareness that may be challenging for children with autism who struggle with emotional expression.
Choice B reason: Guided imagery is a cognitive strategy that may be difficult for children with autism due to challenges with abstract thinking and imagination.
Choice C reason: Extended play sessions with peers may be overwhelming or counterproductive for children with autism, especially if they have difficulty with social reciprocity or sensory processing.
Choice D reason: Art therapy is a developmentally appropriate and evidence-based intervention that allows children with autism to express emotions nonverbally, supporting emotional regulation and communication.
Correct Answer is C
Explanation
Choice A reason: Separating the child from the parents is appropriate, but interviewing the child alone may not be ideal. Having trained professionals present ensures proper documentation and support.
Choice B reason: Interviewing the child with the provider and social worker ensures a trauma-informed, multidisciplinary approach. It protects the child and ensures accurate assessment.
Choice C reason: Asking clarifying questions is acceptable, but the nurse must avoid leading or suggestive questioning. The presence of trained professionals helps maintain objectivity.
Choice D reason: Directly asking the parents may lead to denial or defensiveness. It is not the recommended approach in suspected abuse cases.
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