A person was online continuously for over 24 hours, posting ...

[Jipu 123]

A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?
 
  a. Increased muscle tension and anxiety
  b. Vegetative signs and poor grooming
  c. Poor judgment and hyperactivity
  d. Cognitive deficits and paranoia

Question 2

A patient diagnosed with schizophrenia was hospitalized after arguing with co-workers and threatening to harm them. The patient is aloof, suspicious, and says, Two staff members I saw talking were plotting to kill me.
 
  Based on data gathered at this point, which nursing diagnoses relate? Select all that apply.
 
  a. Risk for other-directed violence
  b. Disturbed thought processes
  c. Risk for loneliness
  d. Spiritual distress
  e. Social isolation

[momo1250]

Answer to Question 1

ANS: C
Hyperactivity (activity without sleep) and poor judgment (posting rhymes on government websites) are characteristic of manic episodes. The distracters do not specifically apply to mania.

Answer to Question 2

ANS: A, B
Delusions of persecution and ideas of reference support the nursing diagnosis of disturbed thought processes. Risk for other-directed violence is substantiated by the patient's feeling endangered by persecutors. Fearful individuals may strike out at perceived persecutors or attempt self-harm to get away from persecutors. Data are not present to support the other diagnoses.