A client with Premenstrual dysphoric disorder (PMDD) asks how her condition differs from premenstrual syndrome (PMS). What is the nurse's best response?

“PMDD requires hormonal therapy, while PMS does not.”

“PMDD causes only physical symptoms, while PMS involves mood changes."

"PMDD symptoms resolve immediately after menstruation begins."

"PMDD is a more severe form of PMS that significantly interferes with daily functioning."

Answer and Explanation

The Correct Answer is D

A. Hormonal therapy may be used for PMDD but is not a distinguishing factor from PMS.

B. PMDD involves both mood and physical symptoms, unlike PMS, which primarily involves physical symptoms.

C. PMDD symptoms may persist through the beginning of menstruation, unlike PMS, which typically resolves with the onset of the period.

D. Premenstrual dysphoric disorder (PMDD) is a more severe form of premenstrual syndrome (PMS) characterized by mood disturbances, irritability, and functional impairment that significantly affect a person’s ability to function in daily life.

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Correct Answer is B

Explanation

A. Resting in bed may be helpful later, but it does not provide the immediate reassurance and support needed during a panic attack.

B. Remaining with the client provides reassurance, safety, and emotional support during a panic attack, which is essential for de-escalation.

C. Having the client join a therapy group during a panic attack would be overwhelming and inappropriate.

D. Administering a sedative may be considered later but should not be the first intervention, as verbal support and reassurance are the priority during a panic attack.

A. Presence of cough B. Absence of gag reflex C. Respiratory rate of 6 breaths per minute D. Urine output 90 mL/hour E. Heart rate 70 beats per minute F. Capillary refill less than 3 seconds

Correct Answer is ["B","C"]

Explanation

A. The presence of a cough is expected as a protective reflex and does not delay transfer.

B. The absence of a gag reflex increases the risk of aspiration, delaying safe transfer.

C. A respiratory rate of 6 breaths per minute indicates respiratory depression, which requires immediate intervention.

D. Urine output of 90 mL/hour is within the expected range and does not delay transfer.

E. A heart rate of 70 beats per minute is normal and not a contraindication for transfer.

F. Capillary refill less than 3 seconds is normal and does not delay the transfer.

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A client with Premenstrual dysphoric disorder (PMDD) asks how her condition differs from premenstrual syndrome (PMS). What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?

Correct Answer is B

Explanation

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?

A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder? (Select all that apply)

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?

A nursing student reports experiencing test-taking anxiety, including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client is doing calisthenics in the client dining room during lunchtime instead of eating. Which of the following statements should the nurse make?

A nurse is caring for a client who is prescribed alprazolam to manage severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?

A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?