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?
"You need to tell those other patients to be quiet so I can sleep."
"I feel really tired today, I'm gonna just rest for a while."
"Look at my new purple hat; it goes well with my zebra-striped pants."
"I can't go to therapy looking like this; my hair is a mess."
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.

Correct Answer is C
Explanation
Choice A reason: Progressive muscle relaxation is a technique that can help reduce anxiety and would be included in teaching.
Choice B reason: Deep breathing is a common and effective method for managing anxiety and would be included in teaching.
Choice C reason: This is the correct choice. Discussing obsessions can be part of cognitive-behavioral therapy and can help in reducing anxiety by confronting and understanding the thoughts.
Choice D reason: Guided imagery is a relaxation technique that can help distract from obsessive thoughts and reduce anxiety.
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