The nurse is called to assist in the care of a child recently diagnosed with attention deficit and hyperactivity disorder (ADHD). Which of the following symptoms should the nurse expect to find?

The 24-year-old male patient presents to the clinic to request a consultation for rhinoplasty. He reports his unsightly nose ruined his most recent relationship because his girlfriend would not stop staring at it; he has missed work due to embarrassment and has started to use makeup to make it look smaller. Upon assessment, the nose appears normal and proportional to his face. Which course of action is the most appropriate?  

The patient brought to the emergency department by police was found in the middle of traffic, alternating between grandiose declarations and expressing a desire to commit suicide. On physical assessment, the patient is tachycardic and hypertensive. The nurse suspects which diagnosis will be made?