A nurse is collecting data from a client who has hypomania.
Which of the following findings should the nurse expect?
Psychomotor retardation.
Decreased self-esteem.
Euphoria.
Hallucinations.
Hallucinations.
The Correct Answer is C
Choice A rationale:
Psychomotor retardation is a characteristic of depression, not hypomania. In fact, individuals with hypomania typically exhibit psychomotor agitation, which is characterized by increased energy and activity levels.
Psychomotor retardation often manifests as slowed movements, speech, and thought processes. It can significantly impact an individual's ability to perform daily tasks and engage in social interactions.
While psychomotor retardation can occur in various mental health conditions, it is not typically associated with hypomania.
Choice B rationale:
Decreased self-esteem is also a characteristic of depression, not hypomania. Individuals with hypomania typically experience inflated self-esteem and grandiosity.
They may overestimate their abilities, make unrealistic plans, or engage in risky behaviors. This inflated sense of self-worth is often a hallmark feature of hypomania and can contribute to impaired judgment and decision-making.
Choice C rationale:
Euphoria is a hallmark symptom of hypomania. It is characterized by an elevated, expansive, or irritable mood that is persistent and noticeable to others.
Individuals with euphoria often feel excessively happy, cheerful, or optimistic. They may have increased energy, decreased need for sleep, and a heightened sense of well-being.
They may also be more talkative, outgoing, and engage in pleasurable activities more often.
This elevated mood is a core feature of hypomania and is often accompanied by other characteristic symptoms, such as increased activity levels, racing thoughts, and impulsivity.
Choice D rationale:
Hallucinations are not a typical feature of hypomania. They are more commonly associated with psychotic disorders, such as schizophrenia.
Hallucinations involve perceiving things that are not real, such as hearing voices or seeing things that are not there.
While hallucinations can occur in some individuals with hypomania, they are not a defining feature of the condition
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
- Answer and explanation The correct answers are:
Condition:
- Mania Actions:
- Daily weight
D. Suicidal behavior
Parameters to monitor:
Blood pressure and pulse rate
Food intake during meals
Rationale for condition:
Choice A: Mania
The client's presentation is consistent with the manic phase of bipolar disorder.
Key features of mania include:
Elevated mood or irritability
Increased energy and activity levels
Racing thoughts and rapid speech
Decreased need for sleep Impulsive behavior
Distractibility
Poor judgment
Grandiosity
Auditory hallucinations Rationale for actions:
Choice B: Daily weight
Weight loss is a common symptom of mania due to increased activity levels and decreased appetite.
Monitoring weight helps assess the severity of mania and the need for nutritional interventions.
Choice D: Suicidal behavior
Individuals with bipolar disorder are at increased risk for suicide, especially during manic episodes.
Close monitoring for suicidal ideation and behavior is crucial for safety.
Rationale for parameters to monitor:
Choice A: Blood pressure and pulse rate
Mania can lead to physiological changes such as increased heart rate and blood pressure.
Monitoring these vital signs helps assess the physical impact of mania and the potential need for medical interventions.
Choice C: Food intake during meals
As mentioned, decreased appetite is common in mania.
Monitoring food intake ensures adequate nutrition and prevents dehydration.
Correct Answer is D
Explanation
Choice D rationale:
Lithium toxicity is a serious and potentially life-threatening condition. It can occur when lithium levels in the blood become too high.
Blurred vision and nausea are common early symptoms of lithium toxicity.
Withholding the medication is the most important action the nurse can take to prevent further toxicity and potential harm to the client.
The nurse should immediately notify the healthcare provider of the client's symptoms and the decision to withhold the medication.
The healthcare provider will likely order a lithium level to be drawn to assess the severity of the toxicity.
Depending on the results of the lithium level, the healthcare provider may order other interventions, such as intravenous fluids or medications to lower the lithium level.
Choice A rationale:
Encouraging the client to rest with his eyes closed may provide some temporary relief from the blurred vision, but it does not address the underlying problem of lithium toxicity.
It is important for the nurse to take more decisive action to prevent further toxicity.
Choice B rationale:
Re-checking the client in 4 hours may delay necessary interventions and allow the lithium toxicity to worsen.
It is important for the nurse to take immediate action to protect the client's health.
Choice C rationale:
Administering the next dose of lithium as prescribed would further increase the lithium level in the blood and could lead to more severe toxicity.
This is not a safe or appropriate action for the nurse to take in this situation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.