A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? (Select all that apply).

Social isolation

Impaired mood regulation

Imbalanced nutrition: more than body requirements

Chronic confusion

Sleep deprivation

Answer and Explanation

Correct Answer : B,E

Rationale:
A. Social isolation is more typical in depression or withdrawal, not acute mania, where patients are often excessively social or intrusive.
B. Impaired mood regulation is characteristic of mania, involving mood swings, irritability, and poor impulse control.
C. Imbalanced nutrition: more than body requirements is unlikely during mania; patients often have decreased appetite.
D. Chronic confusion is not typical in acute mania; cognitive impairment may be present but is usually not chronic.
E. Sleep deprivation is common in manic episodes due to decreased need for sleep and hyperactivity.

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Correct Answer is ["A","C","D","E"]

Explanation

Rationale:
A. This is a form of disorganized speech where the person rapidly shifts from one topic to another, often without logical connection.
B. This is a type of delusional thinking, not a speech pattern. It involves an inflated sense of self-importance or abilities.
C. This occurs when the person begins to answer a question but veers off-topic and never returns to the original point.
D. This involves including excessive and unnecessary detail but eventually returning to the point, demonstrating disorganized but not completely illogical thought.
E. This is rapid, excessive speech that is difficult to interrupt, common in manic episodes and a sign of disorganized communication.Top of Form

A. Beef and vegetable stew, a roll, and chocolate pudding. B. Chicken casserole, green beans, and flavored gelatin with whipped cream. C. Spaghetti and meatballs, salad, and a banana. D. Finger foods, high protein shake and sliced apples.

Correct Answer is D

Explanation

Rationale:
A. Stew requires sitting still to eat with utensils, which can be difficult for a patient with acute mania due to poor concentration and hyperactivity.
B. Casserole and vegetables also require time and utensils; not ideal for someone who needs quick, portable options.
C. Spaghetti and salad are not easily eaten on the go and may be left unfinished by a hyperactive patient.
D. Finger foods and a high-protein shake allow quick, easy eating, meet nutritional needs, and are better suited to the distractibility and restlessness seen in acute mania.

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A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with mania. She knows this person would experience issues with disorganized thoughts and speech patterns. Select the evident ways in which disorganized speech might be manifested. (Select all that apply).

Correct Answer is ["A","C","D","E"]

Explanation

Which dinner menu is best suited for a patient with acute mania?

Correct Answer is D

Explanation

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