Difficulty: Medium
Average Score: 94%
Simulated
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct answer
D
Rationale
The correct answer is D because reporting a lack of sleep is a classic symptom of acute mania in bipolar disorder. During manic episodes, individuals often experience decreased need for sleep or even insomnia. This can lead to heightened energy levels, racing thoughts, and increased impulsivity. Writing a detailed daily activity schedule (A) may suggest organization rather than mania. Refusing to engage in conversation (B) and isolating self from others (C) are more indicative of depression or social withdrawal, which are not specific to acute mania.