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 C
Explanation
Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication affecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can affect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because stimulants used to treat ADHD can actually cause insomnia and might reduce the amount of sleep a child gets.
Choice B reason: This is the correct statement. Parents acknowledging the potential side effects of stimulant medications, such as insomnia, loss of appetite, or weight loss, indicates an understanding of the medication's effects.
Choice C reason: This statement could be correct depending on the specific medication prescribed, but it does not reflect an understanding of the potential side effects, which is crucial for managing the child's care.
Choice D reason: Regular blood level checks are not typically required for ADHD stimulant medications, so this statement does not indicate effective teaching about the medication.
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