1. Out of the following, most common delusion associated with mania is_____________
a) Delusion of grandiosity
b) Delusion of reference
c) Delusion of infidelity
d) Delusion of nihilism
2. Mania is derived from a Greek word which means
a) Sadness
b) Happiness
c) Madness
d) Wilderness
3. Intense elevation of mood with grandeur delusion is seen in which stage?
a) Euphoria
b) Exaltation
c) Ecstasy
d) Elation
4. All are symptoms of mania except
a) Inflated self esteem
b) Spending sprees
c) Expansive mood
d) Increased sleep
5. Out of the following what gets reduced in mania
a) Calcium
b) Sodium
c) Serotonin
d) Norepinephrine
6. The nurse should care for a maniac client by
a) Involving him in group activities
b) Channelizing his energy through competitive sports
c) Helping him in establishing one or two close relationship
d) Helping him get daytime sleep to supress his energy
7. A nurse should understand that a maniac client with hyperactivity is best managed by providing
a) Solitary activity like finger painting
b) Group activity like pass the parcel
c) Competitive activity like football
d) Physical activity like rope skipping
8. Which drug is to be avoided by a client on lithium carbonate therapy to prevent lithium toxicity?
a) Diuretic
b) Antacid
c) Antipyretic
d) Analgesic
9. Out of the following which food is most preferred for a manic client?
a) Vegetable soup
b) Vegetable rice
c) Vegetable Noodles
d) Vegetable roll
10. On mental status examination which general feature suggests that client may have mania
a) Stooped posture with poor attention span
b) Inability to maintain proper eye contact
c) Heavy make-up and bright coloured clothes
d) Shabby hair and non-cooperative attitude
11. When a client shows hyperactivity and disturbs the fellow patients in ward the initial action by a nurse is to
a) Inform doctor the need for electroconvulsive therapy
b) Remind patient about the already set behaviour limits
c) Call for support to mechanically restrain the patient
d) Administer sedative to relax the patient
12. The elation stage of mania is characterised by
a. Moderate elevation of mood with intense sense of rapture
b. Moderate Elevation of mood with increased psychomotor activity
c. Intense elevation of mood with increased sense of wellbeing
d. Severe elevation of mood with increased psychomotor activity
13. The speech of mania client is incoherent because of
a) Abusiveness
b) Pressured speech
c) Clang association
d) Decrease voice modulation
14. Psychoanalytic theory views mania as
a) A defense against depression
b) A mirror image of depression
c) An alternate to depression
d) A reward to depression
15. Therapeutic dose range for lithium carbonate is
a) 900-1000 mg/day
b) 900-1500 mg/day
c) 900-2000 mg/day
d) 900-2500 mg/day
