A nurse in an acute mental health unit is admitting a client who has bipolar disorder.
Which of the following findings supports the admitting diagnosis of acute mania?
The client's spouse reports that the client has recently gained weight.
The client responds to questions with disorganized speech.
The client reports that voices are telling him to write a novel.
The client is dressed in all black.
The Correct Answer is B
Choice A rationale:
Weight gain is not typically associated with acute mania in bipolar disorder.
Choice B rationale:
Disorganized speech can be a symptom of acute mania, which is characterized by increased energy, feelings of euphoria, racing thoughts, risky behaviors, and an inflated self-image.
Choice C rationale:
While hallucinations can occur in severe bipolar episodes, the client reporting that voices are telling him to write a novel is not specifically indicative of acute mania.
Choice D rationale:
Dressing in all black is not a specific symptom of acute mania.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Weight gain is a common side effect of risperidone. Antipsychotic medications like risperidone often lead to weight gain.
Choice B rationale:
Bradycardia is not typically associated with risperidone. Risperidone can cause mild heart rate changes, but significant bradycardia is not common.
Choice C rationale:
Nightmares are not a typical side effect of risperidone. Sleep disturbances can occur, but they are not the most common side effect.
Choice D rationale:
Dependent edema is not a common side effect of risperidone.
Correct Answer is A
Explanation
Choice A rationale:
Command hallucinations can direct the patient to harm themselves or others, making it the priority to address.
Choice B rationale:
Tactile hallucinations, while distressing, are not typically as immediately dangerous as command hallucinations.
Choice C rationale:
Gustatory hallucinations, while potentially disturbing, do not usually pose an immediate threat.
Choice D rationale:
Visual hallucinations, while potentially distressing, are not typically as immediately dangerous as command hallucinations.
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