2026/2027 Grand canyon university
Q1. Which finding is characteristic of a manic episode?
A. Decreased need for sleep with increased energy
B. Persistent sadness and slowed activity
C. Social withdrawal with low energy
D. Excessive sleeping and fatigue
Correct Answer: A
Rationale: Mania commonly involves elevated or irritable mood, increased
energy or goal-directed activity, decreased need for sleep, pressured speech,
distractibility, and impulsive behavior.
Q2. Which finding most strongly supports a manic episode rather
than normal happiness?
A. Grandiosity with markedly increased activity and impaired judgment
B. Feeling happy after receiving good news
C. Increased interest in a favorite hobby
D. Sleeping eight hours nightly
Correct Answer: A
Rationale: Mania involves a distinct and significant change in mood and
activity accompanied by impairment, risky behavior, or other clinically
significant symptoms.
Q3. Which criterion distinguishes Bipolar I disorder from Bipolar II
disorder?
A. Bipolar I includes at least one manic episode.
B. Bipolar I requires only hypomania.
C. Bipolar II includes psychotic mania.
D. Bipolar II never includes depression.
Correct Answer: A
Rationale: Bipolar I disorder requires a manic episode. Bipolar II involves
hypomanic episodes and major depressive episodes but no full manic
episode.
**Q4. Which finding is characteristic of hypomania?
, A. Elevated or irritable mood with increased activity that is less severe than
mania
B. Complete inability to function
C. Persistent psychosis as a defining feature
D. Severe impairment requiring hospitalization in every case
Correct Answer: A
Rationale: Hypomania resembles mania but is less severe and does not
cause the marked functional impairment or psychosis that can occur with
mania.
Q5. How long must a manic episode generally persist to meet the
duration criterion when hospitalization is not required?
A. 24 hours
B. 4 days
C. 7 days
D. 30 days
Correct Answer: C
Rationale: A manic episode generally lasts at least 1 week, or any duration
if hospitalization is necessary.
**Q6. How long must a hypomanic episode generally persist?
A. 24 hours
B. 2 days
C. 4 days
D. 14 days
Correct Answer: C
Rationale: Hypomania generally lasts at least 4 consecutive days.
**Q7. Which finding differentiates mania from hypomania?
A. Mania can cause marked functional impairment or require hospitalization.
B. Hypomania always includes psychosis.
C. Mania never affects sleep.
D. Hypomania always requires hospitalization.
Correct Answer: A
Rationale: Mania is more severe and can cause major impairment,
hospitalization, or psychotic features.