Psychiatric-Mental Health Nurse Practitioner Exam

What does the DIGFAST pneumonic represent in assessing Bipolar disorder?

1. Distractibility, Indifference, Grandiosity, Flight of ideas, Activity increase, Sleep deficit, Talkativeness

2. Distractability, Indiscretion, Grandiosity, Flight of ideas, Activity increase, Sleep deficit, Talkativeness

3. Distractability, Indifference, Growth, Activity level, Sleep deprivation, Talkative

4. Drive, Indulgence, Grandiosity, Frequent thoughts, Activity, Sleep, Talkativeness

The correct answer is: Distractability, Indiscretion, Grandiosity, Flight of ideas, Activity increase, Sleep deficit, Talkativeness

The DIGFAST mnemonic is a valuable tool used in assessing Bipolar disorder, particularly in recognizing the symptoms of mania or hypomania. The components of the mnemonic encompass specific characteristics of the manic episode, which include: - Distractibility: Indicating a reduced ability to focus on tasks. - Indiscretion: Referring to impulsivity or engaging in activities without considering the consequences. - Grandiosity: Signifying an inflated self-esteem or an exaggerated sense of one’s importance. - Flight of ideas: Characterized by a rapid flow of thoughts or a quick shift from one idea to another. - Activity increase: Reflecting an increase in goal-directed activities, either socially or at work. - Sleep deficit: Highlighting the diminished need for sleep often seen in manic episodes. - Talkativeness: Describing an increase in speech, with an often pressured or rapid quality. In this context, option B accurately represents the components of the DIGFAST mnemonic focused on maniacal symptoms associated with Bipolar disorder, making it the most relevant choice. Each term corresponds directly to a hallmark feature observed in individuals experiencing mania. The other options lack precise terminology from the established mnemonic, which makes them less accurate for assessing the condition in a clinical setting.