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?

Reasoning: Choice A reason: While the patient's behavior is unusual, there is no specific evidence of paranoia, which involves a systematized delusion of being persecuted. Cognitive deficits usually refer to memory or processing issues, whereas this patient displays an excess of energy and misplaced focus rather than a loss of basic cognition. Choice B reason: Muscle tension and anxiety are somatic and psychological hallmarks of generalized anxiety disorder or panic. While a manic patient may feel "wired," their presentation of 24-hour continuous activity and inappropriate social media interactions is better categorized as goal-directed hyperactivity and a profound lack of impulse control. Choice C reason: Vegetative signs typically refer to the slowing of bodily functions seen in depression, such as hypersomnia or increased appetite. This patient is experiencing the opposite—a decreased need for sleep and a total neglect of nutritional intake due to a state of extreme psychomotor agitation and high arousal. Choice D reason: Staying online for 24 hours and posting inappropriately on official websites demonstrates severely impaired judgment and social inhibition. The lack of sleep for 3 days combined with constant, purposeless activity is a classic manifestation of hyperactivity and increased psychomotor energy typical of a manic episode in bipolar disorder.