A nurse is collecting data on a client and finds that Ari is always manic but has had one depressive episode in the last year. Which of the following diagnosis should the nurse suspect?
Bipolar type
Bipolar type I
Bipolar mixed
Anxiety
The Correct Answer is B
A. Bipolar type is not a specific classification; the nurse needs to differentiate between bipolar I and II.
B. Bipolar type I involves manic episodes that last for at least a week or require hospitalization, with possible depressive episodes. The presence of a depressive episode confirms bipolar type I.
C. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not described here.
D. Anxiety is unrelated to the symptoms described.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This statement suggests dependency and a lack of readiness to take responsibility for self-care.
B. While family support is important, the client should be able to demonstrate some level of independence for discharge readiness.
C. Taking medications as prescribed and knowing who to contact in case of suicidal thoughts shows insight and preparedness for discharge.
D. This statement reflects avoidance and a lack of motivation, indicating that the client is not yet ready for discharge.
Correct Answer is B
Explanation
A. Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent.
B. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future.
C. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent.
D. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.
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