MANIA NGN CASE STUDY EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

LATEST UPDATE History and Physical Client was brought to the ED by the police after he started driving erratically and had almost collided with several vehicles. After being pulled over, the client sated he was driving into the future. The client was incoherent in his responses to the police officers and became angry which he wa arrested. He is brought to the ED for medical clearance. On exam, the client is hyperalert/hyper aroused and has an expansicve affect. He recognizes that he is in a hospital, but when asked what year it is, he states, "we are in the future." He staes the bright lights he sees sparkle and that it is showing him the future. He cannot detail any of his medical history or current medicaitons. The client does not stay on topic during the interview and frequently switches topics. He is pacing within the exam room and insists on going outside to the roof to see fi he can fly. The client has impaired insight and judgment. His father arrived to provide collateral information, stating that his son has bipolar disorder and ran out of medication several days ago. He states that four days ago, he noticed a change in his son, becoming more talkative and staying longer at work to feel more productive. His father states that his last call with his son was two days ago, and he noticed that his symptoms had worsened, and he could not go to work. Vitals Temp: 98 Pulse: 83 Respirations: 15 BP: 134/79 O2: 96