NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Which symptom does not belong to mania?

  1. Needs less sleep

  2. Easily distracted

  3. Abnormally elevated mood

  4. Significant impairment in social functioning

The correct answer is: Significant impairment in social functioning

In the context of mania, which is a defining feature of bipolar disorder, individuals experience symptoms such as needing less sleep, being easily distracted, and having an abnormally elevated mood. These symptoms are characteristic of the manic phase of bipolar disorder. However, significant impairment in social functioning is more commonly associated with the depressive phase of bipolar disorder rather than the manic phase. In mania, individuals may actually exhibit increased sociability and heightened engagement in social interactions, which is in contrast to the social withdrawal commonly seen in depression. Thus, the symptom of significant impairment in social functioning does not typically belong to mania and is the correct answer in this case.

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