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 A
Explanation
A. This comment uses reflective communication to seek clarification and ensures the nurse accurately understands the patient’s concerns and feelings.
B. "Tell me everything from the beginning" may overwhelm the patient and does not specifically clarify understanding.
C. "Tell me again about your experiences" asks for repetition rather than clarification of understanding.
D. "What are the common elements here?" may be too abstract and analytical, making it difficult for the patient to respond effectively.
Correct Answer is C
Explanation
A. Magical thinking involves believing that one’s thoughts or actions can cause events to occur in a way that defies logic (e.g., thinking stepping on a crack will break someone’s leg), which is not evident here.
B. Associative looseness refers to fragmented, disorganized, or illogical thinking that affects speech, not the perception of others’ behavior.
C. Ideas of reference occur when a person believes that unrelated events or actions of others are directed at them personally. In this scenario, the client interprets the group’s laughter as being about them, which exemplifies this characteristic.
D. Delusions of grandeur involve exaggerated beliefs about one’s own importance, power, or identity, which does not apply in this situation.
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