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 ["2"]

Explanation

50 mcg is to 1 tablet as 100 mcg is to x tablets

So, 50/1 = 100/x

Cross-multiplying: 50x = 100

Dividing both sides by 50: x = 2

Therefore, the nurse should administer 2 tablets daily.

A. Assist the client in developing a structured schedule for activities of daily living B. Provide education about the irrationality of the behavior C. Collaborate with the client to set realistic goals for behavior change D. Encourage the client to resist the urge to rearrange items

Correct Answer is C

Explanation

A. A structured schedule may help with overall daily functioning, but it does not specifically address the compulsive behavior.

B. Educating the client about the irrationality of the behavior is unlikely to reduce the compulsions, as this is a hallmark of OCD, where the individual is often unable to control the urges despite understanding their irrationality.

C. Collaborating with the client to set realistic, gradual goals for changing the compulsive behavior is key in treating OCD. This approach allows the client to have input into their treatment plan and promotes realistic, achievable progress.

D. Encouraging the client to resist the urge to rearrange items without providing a structured approach may lead to increased anxiety and frustration. Gradual exposure and behavior modification are more effective.

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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 is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A 35-year-old client with OCD spends several hours each day arranging and rearranging household items in a specific order. The client becomes extremely distressed if the items are not arranged correctly. Which nursing intervention is most appropriate?

Correct Answer is C

Explanation

A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?

A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?

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

A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. Which of the following findings indicates the client is at risk for suicide?

A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?

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 caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)