A nurse is caring for a patient diagnosed with bipolar disorder during the manic phase. The nurse understands that during this phase, the patient is most likely to exhibit which behavior?

Correct Answer: B

Rationale: The correct answer is B (Rapid speech, inflated self-esteem, and impulsivity). During the manic phase of bipolar disorder, individuals typically experience elevated mood, increased energy, and engage in impulsive behaviors. Rapid speech, inflated self-esteem, and impulsivity are commonly observed behaviors during this phase. Excessive sleep and withdrawal (choice A) are more indicative of the depressive phase. Depressed mood and low energy levels (choice C) are also characteristic of the depressive phase. Social withdrawal and feelings of hopelessness (choice D) are symptoms of depression, not mania. Therefore, choice B is the most appropriate behavior exhibited during the manic phase of bipolar disorder.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the patient's thoughtfulness and the positive relationship between the nurse and patient. Accepting the card shows appreciation and fosters a sense of connection and trust. It also validates the patient's effort in making the card. Choice B is incorrect because it focuses solely on facility policies and may come off as cold and uncaring, potentially damaging the nurse-patient relationship. Choice C is incorrect because declining the card without acknowledging the patient's effort and the positive relationship may leave the patient feeling unappreciated. Choice D is incorrect as it assumes the patient wants to return for other activities when the situation is about expressing gratitude for the current experience.

Correct Answer: D

Rationale: The correct answer is D because it directly addresses the ambiguity in the patient's statement by seeking clarification on the term "stoned." This allows the nurse to gain a better understanding of the patient's experience, ensuring effective communication and assessment. Choice A is incorrect as it assumes the patient was uncomfortable with the dream content without confirming it. Choice B relates the nurse's experience, which does not help clarify the patient's statement. Choice C assumes the patient's issue is related to sleep quality, which may not be the case.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates active listening and empathy, inviting the patient to share their perspective. By asking for an example, the nurse acknowledges the patient's feelings and opens up a dialogue for better understanding. Explanation of other choices: A: This choice dismisses the patient's unique experiences and feelings, lacking empathy. C: This choice could come off as minimizing the patient's concerns and not addressing the core issue of feeling misunderstood. D: Changing the subject avoids addressing the patient's feelings and could lead to further disconnect.

Correct Answer: C

Rationale: The correct answer is C: Disturbed body image. This is the priority nursing diagnosis because the patient's statement indicates a distorted perception of their own body, which is a core issue in anorexia nervosa. Addressing the patient's distorted body image is crucial in promoting positive self-perception and working towards recovery. Incorrect choices: A: Imbalanced nutrition: Less than body requirements - While this is a common concern in anorexia nervosa, the patient's statement about needing to lose more weight indicates a deeper psychological issue that needs immediate attention. B: Ineffective coping - While coping strategies are important, the primary focus should be on addressing the distorted body image in this case. D: Risk for injury - While anorexia nervosa can lead to physical complications, the patient's statement does not directly suggest an immediate risk for injury, making this option less of a priority compared to addressing the distorted body image.