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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Related Questions
Correct Answer is B
Explanation
A. Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder.
B. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described.
C. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here.
D. Bipolar type I involves manic episodes, which are not mentioned in this scenario.
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.
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