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: Serotonin affects many functions, but metabolism is not directly influenced by serotonin.
Choice B reason: While serotonin can indirectly affect heart rate, it is not the primary neurological function it affects.
Choice C reason: Serotonin does not primarily affect reflexes.
Choice D reason: This is the correct choice. Serotonin is well known for its role in regulating mood, and imbalances can lead to mood disorders.

Correct Answer is C
Explanation
Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.
Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.
Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.
Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.
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