Which symptom is least likely to indicate stability in a client suffering from bipolar disorder during a manic episode?

• A. Improved sleep patterns
• B. Decreased energy levels
• C. Heightened sense of pleasure
• D. Calm demeanor

Answer: (C)

In the context of a manic episode in bipolar disorder, a heightened sense of pleasure is least likely to indicate stability. During manic episodes, individuals often experience an exaggerated elevation in mood, increased energy, and a sense of extreme pleasure or euphoria. This heightened sense of pleasure can lead to impulsivity and risk-taking behaviors, which are characteristic of mania and do not signify emotional stability.

Conversely, improved sleep patterns, decreased energy levels, and a calm demeanor are indicators that suggest a return to a more stable mental state. For instance, when a client begins to sleep better, it shows that their manic symptoms might be subsiding, as sleep disturbances are common during manic phases. Similarly, decreased energy levels and a calm demeanor signal a reduction in the hyperactivity and restlessness often associated with mania, indicating progress toward stability. Therefore, a heightened sense of pleasure does not align with stability in this context.