When providing education to a client with bipolar disorder and their family, the nurse should emphasize which symptom as the most significant indicator for mania?
Self-concern about an increase in energy
A sense of pleasure and motivation for new endeavors
Leaving a good job to start a new business
Decreased need for sleep and racing thoughts
The Correct Answer is D
Choice A reason: Increased energy can be an early sign of mania, but by itself it is not the most significant indicator. Many conditions can cause increased energy, so it is not specific enough to identify mania.
Choice B reason: Pleasure and motivation for new endeavors can be normal experiences and do not necessarily indicate mania. In mania, these feelings are excessive and paired with risky behaviors, but alone they are not the most significant indicator.
Choice C reason: Leaving a good job to start a new business may reflect impulsivity, but this is a behavioral consequence rather than a core symptom. It is not the most reliable indicator of mania.
Choice D reason: Decreased need for sleep and racing thoughts are hallmark symptoms of mania. Clients may sleep only a few hours yet feel rested, and their thoughts may be rapid and difficult to follow. These symptoms are the most significant indicators of mania.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Canceling the appointment delays necessary care and is not appropriate unless safety cannot be managed.
Choice B reason: Clients experiencing mania have short attention spans and difficulty processing complex information. Explaining the procedure in simple, clear terms is the most effective approach.
Choice C reason: A thorough explanation may overwhelm the client and increase agitation due to their inability to focus.
Choice D reason: Calling security preemptively is unnecessary unless there is a history of violence. It may escalate the situation and increase paranoia.
Correct Answer is B
Explanation
Choice A reason: Setting an extra meeting time may reinforce manipulative behavior patterns common in borderline personality disorder.
Choice B reason: Ending at the scheduled time maintains boundaries and consistency, which are crucial in managing borderline personality disorder. It teaches respect for limits and prevents manipulation.
Choice C reason: Arranging for another nurse undermines continuity of care and does not address the boundary issue.
Choice D reason: Extending the time reinforces manipulative behavior and undermines therapeutic boundaries.
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