Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

"Attention span short; writing copious notes; intrudes in conversations."

"Irritable, suggestible, distractible; napped for 10 minutes in afternoon."

"Converses with few interruptions; clothing matches; participates in activities."

"Heavy makeup; seductive toward staff; pressured speech."

Answer and Explanation

The Correct Answer is C

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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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. within therapeutic limits B. above therapeutic limits C. invalid because of the time lapse since the last dose D. below therapeutic limits

Correct Answer is A

Explanation

Rationale:
A. A lithium serum level between 0.6 and 1.2 mEq/L is generally considered within the therapeutic range for maintenance treatment.
B. Above therapeutic limits would typically be >1.5 mEq/L, which increases toxicity risk.
C. While timing of blood draw is important, an 8-hour interval is acceptable for monitoring lithium levels (usually drawn 12 hours post-dose but 8 hours is still interpretable).
D. A level of 1 mEq/L is not below therapeutic limits.

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Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

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Explanation

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