A patient with bipolar II disorder is most likely to experience:
Persistent low-grade depression without hypomania
Psychosis during manic episodes
Hypomanic episodes alternating with major depressive episodes
Severe manic episodes
The Correct Answer is C
A. Persistent low-grade depression without hypomania is not typical of bipolar II disorder, as hypomanic episodes are a key feature of the disorder.
B. Psychosis is more common during full manic episodes, typically seen in bipolar I disorder, not bipolar II.
C. Bipolar II disorder is characterized by hypomanic episodes that alternate with major depressive episodes. Hypomania is a less severe form of mania, and individuals with bipolar II do not experience full manic episodes as in bipolar I.
D. Severe manic episodes are characteristic of bipolar I disorder, not bipolar II, which involves hypomanic episodes instead.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lorazepam is a benzodiazepine used for anxiety and agitation, but it is not typically used to treat mania.
B. Fluvastatin is a statin medication used to manage cholesterol, not a treatment for mania.
C. Carbamazepine is a mood stabilizer commonly used to treat mania in clients with bipolar disorder, helping to reduce the severity of manic episodes.
D. Propranolol is a beta-blocker used to manage symptoms of anxiety, but it is not used to treat the manic phase of bipolar disorder.
Correct Answer is A
Explanation
A. Blurred vision and ataxia are signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider immediately for further evaluation.
B. Administering the next dose of lithium could worsen the toxicity, as these are early signs of lithium overdose.
C. Propranolol is used for controlling tremors or anxiety but does not address lithium toxicity.
D. Levothyroxine is used for thyroid dysfunction, which is not indicated by these symptoms.
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