Practice Question
A highly agitated client paces the unit and states, "I could buy and sell this place." The client's mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this client's behavior?
Answer Choices:
Correct Answer:
"Agitated and pacing, Exhibiting grandiosity, Mood labile."
Rationale:
💎 The statement "I could buy and sell this place" reflects grandiosity, which is a fixed false belief of exaggerated self-importance or power, often seen in manic episodes.
💎 The client’s behavior of pacing indicates psychomotor agitation, a common manifestation in manic or highly anxious states.
💎 The mood shifts from fits of laughter to outbursts of anger show mood lability, which describes rapid and intense mood changes over a short period.
💎 Accurate documentation in mental health nursing requires objective, descriptive language that clearly identifies observable actions (pacing, agitation) and specific psychiatric symptoms (grandiosity, mood lability) without judgmental terms. This ensures clarity for the care team and supports consistent treatment planning.
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This question is from Examplify Mental Health 1 which contains 56 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4