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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Schizoid personality disorder involves detachment from social relationships, not an excessive need for reassurance.
B. Dependent personality disorder is characterized by a pervasive need to be taken care of, resulting in submissive behavior and difficulty making decisions.
C. Avoidant personality disorder involves social inhibition and fear of criticism, not the need for constant reassurance.
D. Antisocial personality disorder involves disregard for the rights of others, rather than a need for constant reassurance.
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.
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