Which of the following clinical manifestations would the nurse ...

[bobbie]

Which of the following clinical manifestations would the nurse assess in the patient with bipolar disorder who is experiencing mania? Select all that apply.
 
  A)
  Labile mood
  B)
  Highly distractible
  C)
  Inflated self-esteem
  D)
  Despondent when asked questions
  E)
  Excessive sleepiness

Question 2

A business traveler has just arrived in Japan from the United States. During a meeting with his customer, he begins to experience yawning and stretching with an inability to stay focused on the meeting.
 
  He also has some eye irritation and has developed a headache. Based on these clinical manifestations, what diagnosis would most likely be causing these symptoms?
  A)
  Advanced sleep phase syndrome
  B)
  Delayed sleep phase syndrome
  C)
  Free-running sleep disorder
  D)
  Time zone change syndrome

[jamesnevil303]

Answer to Question 1

Ans:
A, B, C

Feedback:

Clinical manifestations of mania include decreased need for food and sleep, labile mood, irritability, racing thoughts, high distractibility, rapid and pressured speech, inflated self-esteem, and excessive involvement with pleasurable activities. Despondency is a symptom of the depressive phase.

Answer to Question 2

Ans:
D

Feedback:

All of the symptoms are manifestations of jet lag syndrome. Answer choice A relates to early sleep onset and early arising, where people have trouble staying awake in the evening. Answer choice B relates to difficulty in falling asleep at a conventional hour of night and awakening on time in the morning. Answer choice C relates to a lack of synchronization between the internal sleep-wake rhythm and the external 24-hour day, seen commonly in blind people.