A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.
Talking in rapid, continuous speech.
Interacting with others in a flirtatious way.
Dressing in black or grey clothing.
Sleeping for long periods of time.
Spending large sums of money.
Correct Answer : A,B,E
Choice A reason: Rapid, continuous speech is a common symptom of manic behavior, as individuals may feel an increased pressure to speak.
Choice B reason: Flirtatious interaction can be part of the increased sociability and decreased inhibition associated with mania.
Choice C reason: Dressing in black or grey clothing is not specifically indicative of manic behavior.
Choice D reason: Sleeping for long periods is more commonly associated with depressive episodes, not manic behavior.
Choice E reason: Spending large sums of money recklessly can be a sign of the impulsivity and poor judgment that accompany manic episodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Assessing strengths and weaknesses realistically helps the client to understand their capabilities and limitations post-withdrawal.
Choice B reason: Verbalizing plans to join a community support group indicates the client's commitment to ongoing recovery and support after discharge.
Choice C reason: Receiving only prescribed medications ensures the client does not relapse into drug use and maintains the treatment plan's integrity.
Choice D reason: Initiating interactions with others in the facility can help the client rebuild social skills and integrate into a community, which is beneficial for recovery.
Choice E reason: While sharing feelings is important, setting a specific timeframe such as 48 hours may not be realistic for every client and can vary based on individual readiness.
Correct Answer is B
Explanation
Choice A reason: Conversion involves expressing psychological distress through physical symptoms, which is not indicated in this scenario.
Choice B reason: Projection is a defense mechanism where an individual attributes their own unacceptable thoughts or feelings to someone else. In this case, the student is projecting their feelings of inadequacy or frustration onto the teacher and the course.
Choice C reason: Undoing is a defense mechanism where an individual attempts to take back an unconscious behavior or thought that is unacceptable or hurtful. This is not demonstrated by the student's behavior.
Choice D reason: Regression is a return to earlier stages of development and abandoned forms of gratification belonging to them, induced by stress. Berating the teacher does not indicate a regression but rather a projection of the student's feelings.
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