A nurse is reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?

Obsessive-compulsive disorder

Schizophrenia

General anxiety disorder

Anorexia nervosa

Answer and Explanation

The Correct Answer is D

A. "Obsessive-compulsive disorder.": Obsessive-compulsive disorder (OCD) is more commonly associated with cluster C personality disorders, particularly obsessive-compulsive personality disorder, which involves rigid perfectionism and a preoccupation with orderliness.
B. "Schizophrenia.": Schizophrenia is not a common comorbidity of cluster B personality disorders. It is more closely linked to schizotypal personality disorder, a cluster A disorder, which involves eccentric behaviors and cognitive distortions.
C. "General anxiety disorder.": Generalized anxiety disorder (GAD) is more frequently seen in cluster C personality disorders, such as avoidant and dependent personality disorders, which are characterized by excessive fearfulness and anxiety-driven behaviors.
D. "Anorexia nervosa.": Anorexia nervosa is commonly comorbid with cluster B personality disorders, particularly borderline personality disorder, due to emotional dysregulation, impulsivity, and an intense fear of abandonment that can contribute to disordered eating behaviors.

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Correct Answer is C

Explanation

A. Cyclothymic disorder: Cyclothymic disorder involves chronic mood instability with alternating hypomanic and depressive symptoms for at least two years. These mood fluctuations occur independently of the menstrual cycle and do not meet the criteria for major mood episodes.
B. Postpartum depression: Postpartum depression occurs within weeks to months after childbirth and presents with persistent sadness, fatigue, and emotional distress. It is unrelated to the menstrual cycle and requires medical treatment such as therapy and antidepressants.
C. Premenstrual dysphoric disorder: Premenstrual dysphoric disorder is marked by mood disturbances, including depressed mood, irritability, and anxiety, occurring in the luteal phase before menstruation. Symptoms resolve after menstruation begins, and treatment may include SSRIs, hormonal therapy, or lifestyle modifications.
D. Bipolar disorder: Bipolar disorder involves episodes of mania and depression that are unrelated to hormonal changes in the menstrual cycle. Manic episodes present with impulsivity and grandiosity, while depressive episodes cause low energy and anhedonia, requiring mood stabilizers.

A. Cognitive behavioral therapy B. Vagal nerve stimulation C. Electroconvulsive therapy D. Deep-brain stimulation

Correct Answer is A

Explanation

A. Cognitive behavioral therapy. Cognitive behavioral therapy (CBT) is a noninvasive treatment that helps individuals with depression by identifying and modifying negative thought patterns and behaviors. It is widely used and effective in improving mood, coping skills, and overall mental well-being.
B. Vagal nerve stimulation. Vagal nerve stimulation (VNS) is an invasive procedure that involves implanting a device to stimulate the vagus nerve. It is used for treatment-resistant depression and is not considered a first-line, noninvasive option.
C. Electroconvulsive therapy. Electroconvulsive therapy (ECT) is a medical procedure that involves electrical stimulation of the brain under anesthesia. Although effective for severe depression, it is invasive and typically reserved for cases that do not respond to medication or therapy.
D. Deep-brain stimulation. Deep-brain stimulation (DBS) involves surgically implanting electrodes in specific brain regions to regulate mood-related neural activity. It is an invasive treatment used in research or for severe, treatment-resistant depression.

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A nurse is reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. When collecting data, the nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Correct Answer is C

Explanation

A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?

Correct Answer is A

Explanation

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

The nurse is assisting in the care of a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. When collecting data, the nurse should identify that which of the following is characteristic of the client's manifestations?

A nurse is reinforcing education to a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

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A nurse is caring for a client who has depression and states, "A government agency is attempting to capture me." The nurse should identify that the client is experiencing which of the following?

A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?