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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Bipolar I disorder involves episodes of full mania, not just hypomania.
B. Bipolar II disorder is characterized by alternating episodes of hypomania and major depression (often mild to moderate).
C. Cyclothymic disorder involves milder mood swings but does not meet criteria for hypomania or major depression.
D. Schizophrenia is a psychotic disorder, not primarily a mood disorder with hypomanic and depressive episodes.
Correct Answer is ["B","E"]
Explanation
Rationale:
A. Social isolation is more typical in depression or withdrawal, not acute mania, where patients are often excessively social or intrusive.
B. Impaired mood regulation is characteristic of mania, involving mood swings, irritability, and poor impulse control.
C. Imbalanced nutrition: more than body requirements is unlikely during mania; patients often have decreased appetite.
D. Chronic confusion is not typical in acute mania; cognitive impairment may be present but is usually not chronic.
E. Sleep deprivation is common in manic episodes due to decreased need for sleep and hyperactivity.
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