A nurse is monitoring a client who has bipolar disorder and is exhibiting manifestations of mania.
Which of the following findings should the nurse expect? (Select all that apply.).
Anhedonia.
Distractibility.
Grandiose thinking.
Overeating.
Flight of ideas.
Correct Answer : B,C,E
Correct Answers: Distractibility. Grandiose thinking. Flight of ideas.
These are the common symptoms of mania in bipolar disorder.
Some possible explanations for the other choices are:
- Choice A is wrong because anhedonia, which means loss of interest or pleasure in activities, is a symptom of depression, not mania.
- Choice D is wrong because overeating is not a specific symptom of mania, although some people with bipolar disorder may have changes in appetite or weight during mood episodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because lowering the bed reduces the risk of injury if the client falls out of the bed. It also makes it easier for the client to get in and out of the bed safely.
Choice B is wrong because wearing socks when ambulating can increase the risk of slipping and falling. The client should wear shoes or slippers with non-skid soles.
Choice C is wrong because positioning the client’s bedside table at the foot of the bed can create an obstacle for the client to walk around. The bedside table should be placed near the head of the bed and within reach of the client.
Choice D is wrong because raising four side rails on the client’s bed can be considered a form of restraint and can increase the risk of injury if the client tries to climb over them. The use of restraints should be avoided for clients with dementia, as they can cause agitation, confusion, and distress. Instead, other measures such as bed alarms, motion sensors, or frequent monitoring should be used to prevent falls.
Correct Answer is C
Explanation
A. Keeping a voiding diary can help assess patterns, but it is not the primary instruction when reinforcing an active bladder-training schedule.
B. Drinking 4 liters of fluid is excessive and can worsen urinary frequency and urgency.
C. Voiding every 2 hours while awake is a standard initial bladder-training strategy. It establishes a scheduled pattern and helps prevent episodes of incontinence, with intervals gradually increased as control improves.
D. Eliminating caffeine helps reduce bladder irritation, but it is an adjunct lifestyle modification rather than the core bladder-training technique.
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