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 D
Explanation
A. Telling the client to "work hard" to stay on schedule does not address the underlying difficulty with medication adherence.
B. Saying not to worry about past issues may minimize the client’s concerns and challenges.
C. Asking "why" the client finds it difficult to take medications might not encourage open communication and could make the client feel judged.
D. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.
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.
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