Question

A 23 year old man is brought in for assessment after an outburst at work. He presents with pressured speech, psycho-motor agitation, euphoria, and dilated pupils. The nurse suspects his urine drug screen will show positive for:

1 cocaine
2 alcohol
3 benzodiazepines
4 heroin

Answer 1

The symptoms described are consistent with mania, a feature of bipolar disorder. Cocaine would be the most likely substance to show up on a urine drug screen (Option 1).

Step-by-step explanation:

The symptoms described in the question are consistent with a state of mania, which is commonly associated with bipolar disorder. One of the key features of mania is psychomotor agitation, which is characterized by restlessness and excessive movement. Pressured speech, euphoria, and dilated pupils are also common symptoms of mania.

In terms of the positive results on a urine drug screen, cocaine would be the most likely substance to show up. Cocaine is a central nervous system stimulant that can cause euphoria, increased energy, and dilated pupils. Alcohol, benzodiazepines, and heroin are not typically associated with the symptoms described.

Thus, the correct option is number 1.