A client has been admited to a psychiatric-mental health facility in a manic state. The client's spouse accompanies the client to the facility and informs the nurse that the client has been displaying manic symptoms for the past 2 weeks. The spouse reports that the client has not slept for the past 2 days and that the client has not eaten anything for at least 3 days. Which would be the priority for this client?

Imbalanced nutrition.

Risk for violence.

Ineﬀective health maintenance.

Risk for suicide.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Given the client has not eaten for several days, addressing nutritional needs is a priority to prevent further physical health complications.

Choice B reason: While there may be a risk for violence, the immediate physical health needs related to nutrition are more pressing.

Choice C reason: Ineﬀective health maintenance may be a concern, but it is not as immediate as the risk posed by imbalanced nutrition.

Choice D reason: There is no indication in the text that the client is at risk for suicide; therefore, this would not be the priority without further assessment.

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Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. Requesting quiet to sleep does not necessarily support a diagnosis of a manic episode.
Choice B reason: This choice is incorrect. Feeling tired and wanting to rest is not indicative of a manic episode, which is typically characterized by increased energy and activity.
Choice C reason: This is the correct choice. The statement about the purple hat and zebra-striped pants suggests a lack of awareness of social norms and possibly grandiosity or ﬂamboyance, which can be indicative of a manic episode.
Choice D reason: This choice is incorrect. Concern about appearance does not specifically support a diagnosis of a manic episode.

A. "The depressive symptoms indicate I'm bipolar." B. "With this disorder, I will not experience mania." C. "Depression is a one-time incident only." D. "I may experience episodes of hypomania."

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because depressive symptoms alone do not indicate bipolar disorder, which is characterized by episodes of mania and depression.
Choice B reason: This is the correct choice. Major depressive disorder is characterized by depressive episodes without the occurrence of mania.
Choice C reason: This choice is incorrect. Depression can be a recurring disorder and is not typically a one-time incident.
Choice D reason: This choice is incorrect. Hypomania is associated with bipolar disorder, not major depressive disorder.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

Correct Answer is C

Explanation

The client has been diagnosed with a depressive disorder. Which statement by the client indicates an understanding of this disorder?

Correct Answer is B

Explanation

Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

A psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?

A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?