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. This approach is confrontational and accusatory, which may escalate agitation in a hyperactive or manic patient.
B. This response sets clear limits in a calm, supportive, and non-threatening manner, while also offering assistance with impulse control.
C. This statement is shaming and could escalate aggression rather than de-escalate the situation.
D. This is a threat rather than a therapeutic intervention, and it may increase the patient's agitation or resistance.
Correct Answer is C
Explanation
Rationale:
A. This indicates continued manic behavior such as distractibility and impulsivity, suggesting the treatment has not yet been effective.
B. These symptoms are consistent with acute mania, including poor sleep and distractibility, showing that the condition persists.
C. This reflects improvement in mood, behavior, and thought organization, indicating that the treatment is effective.
D. These are signs of ongoing manic behavior, especially impulsivity and rapid, excessive speech.
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