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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another.
B. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia.
C. Dressing in all black is not indicative of acute mania and could be a sign of depression.
D. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.

A. The client will identify positive qualities about herself. B. The client will contact a staff member when she feels she might hurt herself. C. The client will identify ways to achieve a reachable goal for the future. D. The client will identify her position in the grief process.

Correct Answer is B

Explanation

A. Identifying positive qualities about oneself is important but is not the immediate priority in someone at risk for self-harm.
B. Contacting a staff member when the client feels she might hurt herself is the priority, as it directly addresses the risk of harm and safety.
C. Identifying a reachable goal for the future is important but secondary to addressing immediate safety concerns.
D. Identifying her position in the grief process can be helpful but does not address the most immediate concern, which is her safety

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute mental health unit is assisting with the admission of a client who has bipolar disorder. Which of the following findings indicates that the client is experiencing acute mania?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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