A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?

The client responds to questions with disorganized speech.

The client reports that voices are telling him to write a novel.

The client's spouse reports that the client has recently gained weight.

The client is dressed in all black.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. The client reports that voices are telling him to write a novel.

Choice A rationale:

The client responds to questions with disorganized speech. Disorganized speech is a characteristic of schizophrenia and can be present in acute mania as well. However, in this scenario, the client's speech is not described as disorganized. Instead, the client's experience is centered around auditory hallucinations.

Choice B rationale:

The client reports that voices are telling him to write a novel. Auditory hallucinations are a common feature of acute mania and can involve hearing voices that instruct or command the individual to perform certain actions. The client's belief that voices are compelling them to write a novel aligns with this characteristic.

Choice C rationale:

The client's spouse reports that the client has recently gained weight. Weight gain is not a specific symptom of acute mania. While changes in appetite and weight can occur during manic episodes, they are not a defining characteristic for diagnosing acute mania.

Choice D rationale:

The client is dressed in all black. Unusual or eccentric clothing choices can sometimes be seen in individuals with manic episodes, as their behavior and judgment can be impaired. However, dressing in all black is not a definitive indicator of acute mania and does not support the diagnosis on its own.

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Correct Answer is A

Explanation

The correct answer is choice A: "I can't believe the doctor graduated from medical school. He doesn't know a thing about treating cancer!”

Choice A rationale:

Correct Choice This statement reflects denial, which is a common response in the grief process. The client's refusal to accept the doctor's competence in treating their illness is an indication of their emotional struggle to come to terms with the diagnosis and prognosis.

Choice B rationale:

Feeling fatigued and lacking energy can be a physical manifestation of the grief process, but it does not specifically indicate denial. This statement could reflect depression or physical symptoms associated with the client's medical condition.

Choice C rationale:

Expressing gratitude and understanding for the doctor's efforts indicates acceptance, not denial. This statement suggests that the client has reached a point of acknowledging the doctor's attempts to provide care.

Choice D rationale:

ing the doctor's prognosis and assuming exaggeration indicates a negotiation stage of grief, where the client is trying to challenge the reality of their situation. However, this response does not specifically reflect denial as the primary phase of the grief process.

A. Circumstantiality. B. Clang association. C. Tangentiality. D. Neologism.

Correct Answer is B

Explanation

Choice A rationale:

Circumstantiality refers to a communication pattern where the individual provides excessive, unnecessary details before reaching the point. In this scenario, the patient's response is not characterized by providing excessive details but rather by the use of words that sound alike but have no meaningful connection.

Choice B rationale:

Clang association is a communication pattern where the individual's speech is characterized by rhyming or the repetition of words that sound similar but lack logical connection. The patient's response, "This is a new day in May and I can't wait to play," demonstrates this pattern, as the words "May" and "play" rhyme but don't form a coherent sentence.

Choice C rationale:

Tangentiality refers to a communication pattern where the individual goes off-topic and never returns to the original subject. The patient's response, while seemingly off-topic, is not a clear example of tangentiality, as the words used are related in a rhyming manner rather than being entirely unrelated.

Choice D rationale:

Neologism refers to the creation of new words or phrases that are not part of any recognized language. The patient's response does not involve the creation of entirely new words; instead, it involves the use of existing words that rhyme but lack a coherent connection.

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A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. The nurse recognizes that which of the following responses is an indication the client is in the denial phase of the grief process?

Correct Answer is A

Explanation

The nurse is asking a diagnosed schizophrenic patient how they slept and they respond, "This is a new day in May and I can't wait to play." Which communication pattern does the nurse identify?

Correct Answer is B

Explanation

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