A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode.
Which of the following findings should the nurse expect?
Client reports auditory hallucinations.
Client expresses illusions of grandeur.
Moves quickly from one idea to the next.
Inability to carry out a simple task.
The Correct Answer is D
Choice A rationale:
Auditory hallucinations are more commonly associated with conditions like schizophrenia or certain types of psychosis. In bipolar disorder, individuals may experience mood swings between depression and mania, but auditory hallucinations are not a typical symptom during a depressive episode.
Choice B rationale:
Illusions of grandeur involve an exaggerated sense of one's importance, power, knowledge, or identity. This symptom is more commonly associated with manic episodes in bipolar disorder, not depressive episodes.
Choice C rationale:
Rapid speech and moving quickly from one idea to the next are characteristic symptoms of a manic episode in bipolar disorder, not a depressive episode. During depressive episodes, individuals often exhibit symptoms such as low energy, feelings of worthlessness, and difficulty concentrating.
Choice D rationale:
Inability to carry out a simple task is a common symptom of depression. Depressed individuals often struggle with daily activities, lose interest in hobbies, and have difficulty concentrating. This symptom aligns with the depressive episode of bipolar disorder.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Taking ibuprofen during pregnancy is generally not recommended, especially in high doses or for an extended period, as it can increase the risk of complications, including heart defects in the baby. Therefore, advising the client to take 600 milligrams of ibuprofen every 8 hours is not appropriate and potentially harmful during pregnancy.
Choice B rationale:
Having a cesarean birth (C-section) is recommended if there are visible lesions of genital herpes during labor and delivery. This precautionary measure helps prevent the transmission of the herpes simplex virus (HSV) from the mother to the baby, reducing the risk of neonatal herpes infection, which can be severe or even life-threatening.
Choice C rationale:
Testing the baby's cord blood for HSV is not a standard practice. Instead, if there are visible lesions or symptoms of herpes during labor, a C-section is often performed to minimize the risk of transmission. Testing the baby after birth may be done if there are concerns about potential exposure.
Choice D rationale:
Applying a cortisone cream to the lesions is not recommended without medical supervision during pregnancy. Topical corticosteroids, such as cortisone creams, can be absorbed through the skin and may have adverse effects on both the mother and the baby. It is essential to consult a healthcare provider before using any medications or creams during pregnancy to ensure safety for both the mother and the baby.
Correct Answer is C
Explanation
Choice A rationale:
Recording the client's progress in the nurses' notes is important for documentation but does not directly promote communication among staff caring for the client. It is essential for the continuity of care and legal documentation, but it does not facilitate active communication between team members.
Choice B rationale:
Posting swallowing precautions at the head of the client's bed is essential for the client's safety, especially considering the risk of aspiration following a stroke. While it ensures the staff is aware of the precautions, it does not directly promote communication among the staff members.
Choice C rationale:
Having interdisciplinary team meetings for the client on a regular basis is the best choice as it promotes communication among the staff caring for the client. Interdisciplinary team meetings allow healthcare professionals from various disciplines, such as nurses, therapists, and doctors, to collaborate, share information, and discuss the best approach to care for the client. This approach ensures comprehensive and coordinated care, addressing both the client's medical and communication needs.
Choice D rationale:
Noting changes in the treatment plan in the client's medical record is crucial for documentation and continuity of care but does not actively promote real-time communication among the staff members. While it is essential for keeping the medical record updated, it does not facilitate immediate communication and collaboration between healthcare professionals.
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