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 C

Explanation

A. Encouraging physical activity, like a daily walk, is a positive way to support the client’s mental health
and can help with symptoms of depression.
B. Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan.
C. Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance.
D. Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.

A. "Go back to your room, and I'll try to get in touch with your provider in the morning." B. "Everything will be okay until morning. You can speak with your provider then." C. "Why don't you wait to speak to your provider in the morning?" D. "You seem to be very upset about something. Tell me about it."

Correct Answer is D

Explanation

A. Sending the client back to their room without addressing their feelings might worsen anxiety and frustration.
B. Dismissing the client’s request could escalate the behavior and contribute to feelings of neglect.
C. Telling the client to wait might not address the underlying issue or concern.
D. Acknowledging the client's feelings and offering to listen is an empathetic response, which can help de-escalate the situation and build trust.

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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

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Explanation

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Explanation

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