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    NU 400 -MENTAL HEALTH EXAM 5_ST JOSEPH'S COLLEGE ME proctored exam

    The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following?

    Explanation & Rationale

    Choice A reason: Aggression involves hostile or violent behavior directed toward others. The client’s pacing and rapid speech do not indicate hostility but rather heightened activity. Choice B reason: Anger is an emotional state characterized by irritation or rage. While the client is loud, there is no evidence of anger directed at others. Choice C reason: This is correct because psychomotor agitation refers to increased physical activity and restlessness often seen in manic episodes of bipolar disorder. The pacing, rapid speech, and exaggerated gestures are classic signs of psychomotor agitation. Choice D reason: Anxiety can cause restlessness and pacing, but the combination of loud, rapid speech and elaborate gestures is more consistent with mania-related psychomotor agitation rather than anxiety.

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