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NCLEX-RN · Question #4

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being "on the move," sleeping 3-4 hours…

The correct answer is C. Exaggerated self-importance. (A) During the manic phase of bipolar disorder, clients have short attention spans and may be abusive toward authority figures. (B) Introspection requires focusing and concentration; clients with mania experience flight of ideas, which prevents concentration. (C) Grandiosity…

Psychosocial Integrity

Question

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being "on the move," sleeping 3-4 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

Options

  • AShort, polite responses to interview questions
  • BIntrospection related to his present situation
  • CExaggerated self-importance
  • DFeelings of helplessness and hopelessness

How the community answered

(56 responses)
  • A
    2% (1)
  • B
    7% (4)
  • C
    88% (49)
  • D
    4% (2)

Explanation

(A) During the manic phase of bipolar disorder, clients have short attention spans and may be abusive toward authority figures. (B) Introspection requires focusing and concentration; clients with mania experience flight of ideas, which prevents concentration. (C) Grandiosity and an inflated sense of self-worth are characteristic of this disorder. (D) Feelings of helplessness and hopelessness are symptoms of the depressive stage of bipolar

Topics

#bipolar disorder#manic episode#psychiatric assessment#grandiosity

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