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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Mild anxiety usually presents with slight discomfort, restlessness, or irritability, and the client remains able to focus and problem-solve.

B. Severe anxiety is characterized by physical symptoms such as chest pain, headache, shortness of breath, and a preoccupation with specific concerns (e.g., personal problems) that limit the client’s ability to focus on other matters.

C. Panic involves sudden, intense terror or dread, often accompanied by inability to communicate or function, and may include distorted perceptions or irrational behavior. The client in this scenario can still verbalize concerns.

D. Moderate anxiety causes narrowing of attention and some tension or restlessness, but the physical manifestations and preoccupation in this scenario indicate a more severe level.

A. chronic deterioration. B. medication nonadherence. C. the need for psychoeducation. D. relapse.

Correct Answer is D

Explanation

A. Chronic deterioration refers to a gradual, long-term decline in functioning, not the sudden emergence of new or worsening psychotic symptoms.

B. While relapse can sometimes be related to nonadherence, there is no direct evidence here that the patient has stopped taking medication, so this cannot be assumed.

C. Psychoeducation may be helpful, but the immediate concern is the reemergence of psychotic symptoms, not just a lack of understanding about the illness.

D. The patient is displaying insomnia, tension, difficulty concentrating, and paranoid delusions, which are early warning signs of a psychotic relapse in schizophrenia. Prompt intervention is necessary to prevent full exacerbation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state. "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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