Your patient, who is manic, says, "Everything I do is great." How should you respond?

"Yes, I am happy for you."

"No one can be great at everything."

"Keep it up."

"Tell me about a time in your life when things didn't go as planned."

Answer and Explanation

The Correct Answer is D

Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.

Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.

Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.

Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Clang associations, or speech governed by the sound of words rather than their meaning, are common in manic episodes.

Choice B reason: Impulsive behaviors such as spending large sums of money are characteristic of mania.

Choice C reason: Increased sociability and flirtatious behavior can be observed in individuals experiencing mania.

Choice D reason: Sleeping for long periods is not typically associated with manic behavior; rather, reduced need for sleep is more common.

Choice E reason: Rapid, continuous speech is a symptom of manic behavior, often making it difficult for others to interrupt.

A. Grief after a major loss can mimic depression. B. It is common after a myocardial infarction (MI). C. Children and adolescents can suffer from depression. D. It is more common in men than women.

Correct Answer is D

Explanation

Choice A reason: Grief after a major loss can indeed mimic the symptoms of depression, but it is not considered clinical depression unless the symptoms persist and meet specific criteria.

Choice B reason: Depression is common after a myocardial infarction (MI) due to the emotional and physical stress of the event and recovery process.

Choice C reason: Children and adolescents can and do suffer from depression, and it is important for it to be recognized and treated appropriately.

Choice D reason: Depression is more common in women than in men, which makes the statement incorrect.

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Your patient, who is manic, says, "Everything I do is great." How should you respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

Which of the following is not true about depression?

Correct Answer is D

Explanation

A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

What is cyclothymic disorder?

Which statement made by a patient indicates a possible exacerbation of heart failure (HF)?

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

A nurse is caring for a client who has bipolar disorder and states that his latest computer project is "revolutionizing the industry." Which of the following behaviors is the client exhibiting?

A nurse is caring for a client who has depression and is taking a monoamine oxidase inhibitor (MAOI). The nurse should inform the client that their diet may include which of the following foods?

A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?