A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?

Poor judgment and hyperactivity

Increased muscle tension and anxiety

Vegetative signs and poor grooming

Cognitive deficits and paranoia

Answer and Explanation

The Correct Answer is A

Rationale:
A. Poor judgment and hyperactivity are characteristic of mania, demonstrated by risky behavior (posting on official sites, inviting politicians) and prolonged activity without rest.
B. Increased muscle tension and anxiety are more typical of anxiety disorders, not classic manic episodes.
C. Vegetative signs (e.g., sleep and appetite disturbances) occur but poor grooming is more common in depression than mania.
D. Cognitive deficits and paranoia may be seen in psychosis but are not the primary features described here.

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Correct Answer is C

Explanation

Rationale:
A. Dysthymic disorder is a chronic mild depression and typically does not require intensive supervision.
B. Bipolar II disorder involves hypomania and depression but less severe mania than Bipolar I.
C. Bipolar I disorder includes full manic episodes which can involve risky, impulsive, or aggressive behavior requiring close supervision for safety.
D. Cyclothymic disorder involves milder mood swings and generally lower risk behaviors.

A. The patient is using alcohol because she is depressed B. Alcohol ingestion is a form of self-medication C. The patient lacks the neurotransmitters to control behavior D. Anxiety may be present.

Correct Answer is B

Explanation

Rationale:
A. While depression may contribute to substance use, this choice makes an assumption about the patient's emotional state without adequate context.
B. Individuals with bipolar disorder often use substances like alcohol to manage or "self-medicate" their mood symptoms instead of taking prescribed medications.
C. This statement is overly simplistic and not clinically accurate; behavior is influenced by multiple factors, not just neurotransmitter levels.
D. While anxiety might coexist, this statement is vague and doesn't directly explain the pattern of substituting alcohol for prescribed medications.

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A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Four new patients were admitted to the behavioral health unit in the past 12 hours. The nurse directs a psychiatric technician to monitor these patients for safety. Which patient will need the most watchful supervision? A patient diagnosed with

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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