National Physical Therapy Examination (NPTE) Practice Exam

What characteristics should a physical therapist assistant expect to observe in a patient during the manic phase of bipolar depression?

1. The patient reports feeling guilty and requiring a lot of attention

2. The patient shows disinterest in therapy and poor concentration

3. The patient acts erratically, is highly distractible, and communicates with rapid speech

4. The patient reports very low energy and the urge to sleep most of the day

The correct answer is: The patient acts erratically, is highly distractible, and communicates with rapid speech

In the manic phase of bipolar disorder, patients typically exhibit distinct and notable behaviors. One of the hallmark characteristics is an increased level of energy and activity, which can manifest as erratic behavior. Patients often display impulsivity and a decreased need for sleep, leading to a heightened state of arousal and excitement. Communication patterns during this phase frequently include pressured or rapid speech, where the individual may jump from one topic to another quickly. This reflects both the distractibility and racing thoughts commonly experienced. Such symptoms can make it challenging for them to focus or engage in typical conversations effectively. The other options reflect symptoms associated with different phases of bipolar disorder or different mental health conditions altogether. For example, feelings of guilt and requiring attention, as implied in another selection, may be more aligned with a depressive state. Similarly, poor concentration and disinterest in therapy are often seen during depressive episodes rather than manic episodes. Lastly, very low energy and increased sleep needs are key indicators of depression, not mania. Thus, the characteristics expected during the manic phase center around high energy, distractibility, and rapid speech.