A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.
Talking in rapid, continuous speech.
Interacting with others in a flirtatious way.
Dressing in black or grey clothing.
Sleeping for long periods of time.
Spending large sums of money.
Correct Answer : A,B,E
Choice A reason: Rapid, continuous speech is a common symptom of manic behavior, as individuals may feel an increased pressure to speak.
Choice B reason: Flirtatious interaction can be part of the increased sociability and decreased inhibition associated with mania.
Choice C reason: Dressing in black or grey clothing is not specifically indicative of manic behavior.
Choice D reason: Sleeping for long periods is more commonly associated with depressive episodes, not manic behavior.
Choice E reason: Spending large sums of money recklessly can be a sign of the impulsivity and poor judgment that accompany manic episodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.
Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.
Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.
Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.
Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Hyperventilation is a common symptom of anxiety disorders, including GAD, due to increased tension and stress.
Choice B reason: Irritability is often observed in individuals with GAD as a result of persistent worry and stress.
Choice C reason: While anorexia can occur in individuals with anxiety disorders, it is not a specific symptom of GAD.
Choice D reason: Insomnia is a frequent symptom of GAD, as worry and anxiety can make it difficult to fall or stay asleep.
Choice E reason: Fatigue can be a result of chronic anxiety and the associated sleep disturbances common in GAD.
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