The patient states, “I’m so embarrassed. I won’t feel like I have to pee for hours, then all of a sudden it hits me. I often can’t make it to the bathroom in time.” The nurse uses which term to document this patient’s report?

The nurse is taking the history of a patient found in the street trying to stop traffic. The patient admits to multiple recent long episodes of severe depression. Then, 12 days ago, the patient described feeling elated and “on top of the world.” He recounts many days planning far-reaching projects that would “change the world,” and required only an hour of sleep once or twice. Patient is talking continuously in a rapid, rushed manner and cannot seem to complete a thought without jumping to the next. He sometimes sees things that others do not see. The nurse anticipates which diagnosis?

Two days after undergoing surgery for a ruptured appendix, the patient responds to the nurse in only short, clipped statements, becoming visibly frustrated and angry during a routine vital signs check. Which response by the nurse is most appropriate?