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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A semi-private room may not provide enough structure or prevent overstimulation, which could exacerbate manic behavior.
B. A private room close to the nursing station is ideal for a client in the manic phase of bipolar disorder. The nurse can monitor the client's behavior more closely while providing a quiet, private space to prevent overstimulation from other clients.
C. A seclusion room should not be the first option unless the client is a danger to themselves or others, and the client's activity level can usually be managed with more supportive measures.
D. A private room in a quiet location is not ideal because the nurse needs to be able to monitor the client closely and intervene if necessary, which would be more difficult in a remote area.
Correct Answer is D
Explanation
A. Seclusion should be avoided unless absolutely necessary for safety, as it may increase agitation in a manic client.
B. A stimulating environment could worsen mania, leading to increased agitation and impulsivity.
C. While maintaining a regular sleep-wake cycle is important, discouraging naps could increase irritability and fatigue, which may worsen manic symptoms.
D. Consistent routines help provide structure and security for clients in the manic phase, reducing confusion and promoting stability.
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