A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?

Speaks in rhyming sentences

Makes inappropriate sexual comments

States that he hasn't bathed in 2 days

Reports eating twice in the past week

Answer and Explanation

The Correct Answer is D

A.   Speaking in rhyming sentences can be a manifestation of mania but may not necessarily require immediate reporting unless it escalates to disruptive or harmful behavior.
B.   Making inappropriate sexual comments can indicate impulsivity and lack of social boundaries. It does not however precede managing the risk of hypoglycemia.
C.   Poor hygiene, such as not bathing, is common in mania due to increased energy and decreased need for sleep, but it may not require immediate reporting unless it poses a significant risk to the client's health.
D.   Decreased appetite and irregular eating patterns are common during mania due to increased activity levels. Eating twice in teh past is not sufficient to meet energy requirements and the client might be at risk of hypoglycemia.

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Correct Answer is C

Explanation

A. Orientation to person, place, and time is important for assessing mental status but may not necessarily indicate the need for restraint removal.
B. Self-harm threats should be taken seriously but may require further assessment and intervention rather than immediate restraint removal.
C. The ability to follow commands indicates a level of cooperation and self-control, which may warrant removal of restraints as the client can potentially be managed without them.
D. Refusal to take medication may necessitate further intervention but may not directly indicate the need for restraint removal unless it poses an immediate risk to the client's safety.

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 conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

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