16. A client's family reports clinical manifestations of hyperactivity, delusions of grandeur, impaired judgment, and inability to sit still during a meal. Which diagnosis should a nurse suspect?
16. A client's family reports clinical manifestations of hyperactivity, delusions of grandeur, impaired judgment, and inability to sit still during a meal. Which diagnosis should a nurse suspect?
. Attention deficit-hyperactivity disorder (ADHD).
. Attention deficit disorder (ADD).
. Psychosis.
. Mania.
Test-Taking Tip
Although hyperactivity may be a key symptom in all four options, delusions of grandeur are specific for manic behavior.
Content Area: Mental Health, Mood Disorders; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Mental Health Concepts
.
Answer 1 is incorrect because clinical manifestations for ADHD do not include delusions of grandeur. Answer 2 is incorrect because clinical manifestations of ADD do not include delusions of grandeur. Answer 3 is incorrect because psychosis involves hallucinations. Answer 4 is correct because these are typical signs of mania distinguished by the delusions of grandeur.