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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. Using silence allows the patient time to process thoughts and feelings, encourages introspection, and can facilitate deeper communication during interviews.

B. While prolonged silence can sometimes make patients uncomfortable, its intentional and therapeutic use is beneficial when appropriately timed.

C. Reflecting or paraphrasing communicates understanding; silence alone does not confirm comprehension.

D. In therapeutic communication, the nurse does not have to immediately fill silence; allowing moments of quiet can be purposeful.

A. "I hate all of you!" B. "The other patient started the fight." C. "You wait until I tell my lawyer." D. "My fingers are tingly."

Correct Answer is D

Explanation

A. "I hate all of you!" –This reflects the patient’s anger and hostility, which is expected after being restrained. While it requires therapeutic communication, it does not signal a medical emergency.

B. "The other patient started the fight." – This statement is defensive and attempts to shift blame. Although it provides insight into the patient’s thought process, it is not urgent from a physiological standpoint.

C. "You wait until I tell my lawyer." – This reflects frustration and a threat of legal action. It is important for documentation and de-escalation but does not require immediate clinical intervention.

D. "My fingers are tingly." – This is the highest priority because it indicates impaired circulation or nerve compression related to the restraints. Tingling, numbness, coolness, or pallor are warning signs that restraints are too tight or causing neurovascular compromise. This can lead to permanent injury if not corrected promptly.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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