IGNOU PB. Bsc. Nsg. Entrance-2025
Mental Health Nursing
Medium
Following are the clinical features of mania EXCEPT :
Appeared in: IGNOU PB. Bsc. Nsg. Entrance-2025
Explanation
- Disorientation is a disturbance in consciousness and cognition, specifically regarding awareness of person, place, and time.
- This is not a primary symptom of mania; a patient's sensorium (level of consciousness and orientation) is usually clear during a manic episode.
- Disorientation is a hallmark feature of organic brain syndromes, such as delirium, dementia, or substance intoxication.
- While it can occur in the very rare and severe state of 'delirious mania', it is not a typical or defining feature of a standard manic episode.
Why Other Options Were Wrong
- Option A: Elation of mood is a core affective (mood) symptom of mania. It is a state of moderate mood elevation, often accompanied by increased psychomotor activity.
- Option C: Increased psychomotor activity is a hallmark behavioral symptom of mania. It manifests as restlessness, over-activeness, and an increase in goal-directed activities, often to the point of exhaustion.
- Option D: Talking big or grand refers to grandiosity or delusions of grandeur. This is a classic thought-content disturbance in mania, where the individual has an inflated sense of self-esteem, power, or importance.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Clinical features of Mania helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses must accurately assess for mania to ensure patient safety, as impulsivity and poor judgment can lead to risky behaviors such as financial ruin, sexual indiscretions, or physical harm.
- It is clinically crucial to differentiate mania from delirium. A disoriented patient requires an immediate workup for an underlying medical cause (e.g., infection, metabolic imbalance), whereas a manic patient requires mood stabilization.
- What if? If a patient presented with both elevated mood AND disorientation, the nurse's priority would shift to suspecting an organic cause like substance intoxication, infection (encephalitis), or the rare 'delirious mania', necessitating urgent medical evaluation over standard psychiatric interventions.
How to Approach the Question
- First, identify the negative keyword 'EXCEPT'. This signals that three of the options are true features of mania, and your task is to find the one that is not.
- Recall the classic triad of manic symptoms: elevated mood, increased psychomotor activity, and grandiose thoughts.
- Evaluate each option against this clinical picture.
- Option A ('Elation of mood'), Option C ('Increased psychomotor activity'), and Option D ('Talking big or grand') all fit perfectly within the known symptom cluster of mania.
- Option B ('Disorientation') relates to cognitive function (awareness of time, place, person). Recall that in functional psychiatric disorders like mania, the sensorium is typically clear. Disorientation points towards an organic, not a functional, issue.
- Therefore, disorientation is the outlier and the correct answer.
Concept Tested & Keywords
- Concept Tested: Clinical features of Mania
- Stem keywords: clinical features, mania
- Lead-in keywords: EXCEPT
- Negative lead-in flag: The question asks to identify the option that is NOT a clinical feature of mania.
Question ID
Q_aQF5mjyJZEqZ8bX486C4
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 5392-5394, 5393-5395
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 204-206
Practise the full IGNOU PB. Bsc. Nsg. Entrance-2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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