1. A person was online continuously for over 24 hours, posting rhymes on
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official government websites and inviting politicians to join social networks.
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The person has not slept or eaten for 3 days.What features of mania are
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evident?
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a. Increased muscle tension and anxiety n, n, n, n,
b. Vegetative signs and poor grooming n, n, n, n,
c. Poor judgment and hyperactivity n, n, n,
d. Cognitive deficits and paranoia:c.Poor judgment and hyperactivity n, n, n, n, n
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2. A patient diagnosed with bipolar disorder is dressed in a red leotard and
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bright scarves.The patient twirls and shadow boxes.The patient says gaily, "Do
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youlikemyscarves?Here theyare mygiftto you."How shouldthe nurse document
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the patient's mood?
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a. Euphoric
b. Irritable
c. Suspicious
d. Confident: a.Euphoric n, n,
3. A person was directing traffic on a busy street, rapidly shouting, "To work, you
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jerk, for perks" and making obscene gestures at cars. The person has not slept or
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eaten for 3 days. Which assessment findings will have priority concern for this
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patient's plan of care?
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a. Insulting,aggressive behavior n, n,
b. Pressured speech and grandiosity n, n, n,
c. Hyperactivity; not eating and sleeping n, n, n, n,
d. Poor concentration and decision making:c.Hyperactivity;not eating and
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sleeping
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4. A patient diagnosed with acute mania has distributed pamphlets about a new
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business venture on a street corner for 2 days.Which nursing diagnosis has
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priority?
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a. Risk for injury n, n,
b. Ineffective coping n,
c. Impaired social interaction n, n,
d. Ineffective therapeutic regimen management:a.Risk for injury n, n, n, n, n
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5. A patient diagnosed with bipolar disorder becomes hyperactive after dis-
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continuing lithium. The patient threatens to hit another patient. Which com-
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ment by the nurse is appropriate?
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a. "Stop that! No one did anything to provoke an attack by you." n, n, n, n, n, n, n, n, n, n, n,
b. "If you do that one more time, you will be secluded immediately."
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c. "Do not hit anyone.If you are unable to control yourself,we will help you."
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