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Exhibits

For each assessment finding, click to specify if the finding is consistent with psychosis or mania. Each finding may support more than one diagnosis.

A.

Pressured speech

B.

Disorganized thought process

C.

Excessive spending habits

D.

Hallucinations

E.

Lack of sleep

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

  • Pressured speech is a hallmark of mania, reflecting heightened psychomotor activity and accelerated thought processes. It often overwhelms conversation partners and makes logical communication difficult. This symptom reflects the individual’s racing mind and inability to filter or regulate their verbal output, often seen in manic episodes.
  • Disorganized thought process is seen in both psychosis and mania, but manifests differently in each. In psychosis, it is often due to a breakdown in logical thinking or connection to reality. In mania, it reflects flight of ideas, rapid topic shifting, and distractibility. The presence of both symptoms indicates overlapping features.
  • Excessive spending habits are consistent with manic behavior, often driven by grandiosity and poor judgment. Clients in a manic state may feel invincible or overly generous, leading them to make irrational financial decisions. These behaviors can result in significant personal or financial consequences, including debt or loss of savings.
  • Hallucinations are perceptual disturbances where individuals see, hear, or feel things that are not present, primarily associated with psychosis. Auditory hallucinations, like hearing voices or unseen persons, are especially common. This indicates a loss of reality testing, which is central to diagnosing psychotic disorders.
  • Lack of sleep without fatigue or distress is a key feature of mania, often preceding or accompanying a manic episode. Unlike insomnia in depression or anxiety, clients with mania may report feeling energetic and productive. The sleep deficit contributes to cognitive and emotional instability seen in manic phases.


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Related Questions

Correct Answer is C

Explanation

A. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage and HIV transmission. Water- or silicone-based lubricants are recommended to preserve condom integrity.
B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact such as sharing dishes or eating utensils. This practice is unnecessary and may contribute to stigma and isolation for individuals living with HIV.
C. Clean blood-contaminated surfaces with bleach: Bleach is effective in inactivating HIV on surfaces. A solution of 1:10 bleach to water is recommended for cleaning any area contaminated with blood or body fluids to reduce transmission risk.
D. Wash soiled clothes in cold water: Cold water is less effective at killing pathogens. Hot water and standard laundry detergent are recommended for properly cleaning clothing contaminated with blood or body fluids.

Correct Answer is C

Explanation

A. Hyperthyroidism: Although thyroid function should be monitored, hyperthyroidism itself is not a contraindication for combination oral contraceptives. However, uncontrolled hyperthyroidism may require careful evaluation before starting any hormonal therapy.
B. Hypocalcemia: Low calcium levels do not directly affect the safety of combination oral contraceptives, so this condition is not a contraindication. Oral contraceptives do not typically influence calcium metabolism in a way that would cause harm in hypocalcemic patients.
C. Thrombophlebitis: This condition indicates a history of blood clots or venous inflammation, which significantly increases the risk of thromboembolism with combination oral contraceptives due to their estrogen content. Therefore, thrombophlebitis is a contraindication.
D. Diverticulosis: This condition affects the colon and is not related to the risks associated with combination oral contraceptives. It does not contraindicate their use.

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