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A patient is experiencing psychomotor agitation associated with bipolar disorder. Which observation would the nurse associate with this symptom? The patient

complains of prickly skin sensations

demonstrates slowed verbal responses.

paces aimlessly around the room.

asks the nurse to repeat instructions.

Answer and Explanation

The Correct Answer is C

A. Prickly skin sensations may occur with anxiety or substance use, not psychomotor agitation.

B. Slowed verbal responses indicate psychomotor retardation, not agitation.

C. Psychomotor agitation refers to increased, purposeless movement such as pacing, hand-wringing, or fidgeting.

D. Asking to repeat instructions indicates poor concentration, not specifically psychomotor agitation.

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Correct Answer is A

Explanation

A. Magical thinking involves belief that one has special powers or that thoughts/actions can influence unrelated events. Claiming an ability to decode DNA by sight reflects an irrational belief in a special, unrealistic power.
B. Ideas of reference are the belief that neutral events (TV, conversations) refer specifically to oneself; that is not described here.
C. Visual hallucinations are false sensory perceptions (seeing things that aren't there); the statement describes a belief about an ability, not a sensory experience.
D. Thought insertion is the delusional belief that others are putting thoughts into one’s mind; the patient is claiming a personal ability, not externally implanted thoughts.

A. The nurse is viewing the patient's behavior through a cultural filter. B. The patient is giving positive feedback about the nurse's communication techniques. C. The patient is demonstrating psychotic behaviors. D. The patient's verbal and nonverbal messages are incongruent.

Correct Answer is D

Explanation

A. There is no indication that cultural bias is affecting interpretation; the focus is on the mismatch between verbal and nonverbal cues.

B. While the patient says they enjoy the interaction, their nonverbal behavior (fidgeting, covering face, looking under chair) suggests discomfort or anxiety, not purely positive feedback.

C. The behaviors described (fidgeting, covering face) do not indicate hallucinations or delusions typical of psychosis.

D. The patient verbally states enjoyment, but their body language suggests discomfort, anxiety, or internal conflict, indicating incongruence between words and actions.

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A patient is experiencing psychomotor agitation associated with bipolar disorder. Which observation would the nurse associate with this symptom? The patient

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Naxlex Comprehensive Predictor Exams

A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident?

Correct Answer is A

Explanation

Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?

Correct Answer is D

Explanation

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