A patient diagnosed with bipolar disorder is dressed in a purple leopard and bright floral scarves. The patient twirls and shadow boxes. The patient says gaily. "Do you like my scarves? Here they are my gift to you." How should the nurse document the patient's mood?
Irritable
Suspicious
Euphoric
Confident
The Correct Answer is C
A. Irritability involves anger, frustration, or easily annoyed behavior, which is not reflected in the patient’s joyful and playful actions.
B. Suspicious mood would include mistrust or paranoia, which is not evident in this patient’s behavior.
C. Euphoric mood is characterized by exaggerated feelings of well-being, elation, or joy, often with energetic and flamboyant behavior, as demonstrated by twirling, shadow boxing, and offering scarves as gifts.
D. Confidence refers to self-assurance and poise without the intense elation or overexcitement seen in euphoria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Referring the patient to a minister avoids the nurse’s responsibility to provide immediate therapeutic support.
B. This response reflects the patient’s feelings and encourages further expression, which is therapeutic in depression.
C. Asking “why” can feel judgmental and place the patient on the defensive, which is non-therapeutic.
D. Giving false reassurance or imposing religious beliefs does not address the patient’s feelings and may shut down communication.
Correct Answer is A
Explanation
A. Clozapine can cause agranulocytosis, a life-threatening drop in white blood cells, leaving the client highly vulnerable to infection. Flu-like symptoms (fever, sore throat, malaise) may be early warning signs and require immediate provider notification and WBC count monitoring.
B. Olanzapine commonly causes orthostatic hypotension. Dizziness when standing is expected early in treatment and can often be managed with slow position changes, not an emergency.
C. Thioridazine, like many antipsychotics, can cause sedation. Daytime drowsiness is a common side effect and not urgent.
D. Chlorpromazine may cause GI upset such as nausea and vomiting. While bothersome, it is not immediately life-threatening unless severe or persistent.
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