When providing education to a client with bipolar disorder and their family, the nurse should emphasize which symptom as the most significant indicator for mania?
Self-concern about an increase in energy
A sense of pleasure and motivation for new endeavors
Leaving a good job to start a new business
Decreased need for sleep and racing thoughts
The Correct Answer is D
Choice A reason: Increased energy can be an early sign of mania, but by itself it is not the most significant indicator. Many conditions can cause increased energy, so it is not specific enough to identify mania.
Choice B reason: Pleasure and motivation for new endeavors can be normal experiences and do not necessarily indicate mania. In mania, these feelings are excessive and paired with risky behaviors, but alone they are not the most significant indicator.
Choice C reason: Leaving a good job to start a new business may reflect impulsivity, but this is a behavioral consequence rather than a core symptom. It is not the most reliable indicator of mania.
Choice D reason: Decreased need for sleep and racing thoughts are hallmark symptoms of mania. Clients may sleep only a few hours yet feel rested, and their thoughts may be rapid and difficult to follow. These symptoms are the most significant indicators of mania.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Telling the client the delusion is not possible is confrontational and ineffective. Clients may not accept reality testing during active delusions.
Choice B reason: Exploring the meaning of the delusion focuses attention on false beliefs, reinforcing them rather than redirecting.
Choice C reason: Acknowledging feelings validates the client’s emotional experience without reinforcing the delusion. This maintains therapeutic communication and supports reality orientation.
Choice D reason: Interacting as if the delusion were true reinforces psychosis and is inappropriate.
Correct Answer is C
Explanation
Choice A reason: Promising secrecy is inappropriate because nurses are mandated reporters. They are legally and ethically obligated to report suspected child abuse. Making such a promise undermines trust when disclosure becomes necessary.
Choice B reason: Labeling the family as "bad" is judgmental and non-therapeutic. It risks alienating the child and does not provide supportive reassurance.
Choice C reason: Telling the child that it is not their fault is therapeutic and supportive. Children often internalize blame for abuse, so this statement helps reduce guilt and shame while validating their experience.
Choice D reason: Discussing the abuse directly with family members can place the child at further risk and is inappropriate. The nurse must follow mandated reporting procedures rather than confronting the family.
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