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 B
Explanation
A. Chills are not a common symptom of moderate anxiety; they are more likely to occur with fever or cold exposure.
B. Anxiety often leads to physical symptoms such as urinary frequency due to increased sympathetic nervous system activity.
C. Rapid speech can occur with anxiety, but it is more commonly seen in severe anxiety, not moderate anxiety.
D. A distorted perceptual field is more typical of severe anxiety or panic attacks, not moderate anxiety.
Correct Answer is C
Explanation
A. Providing a structured activity schedule can be beneficial but comes after understanding the triggers of the behaviors.
B. Relaxation techniques are helpful but would be more effective after understanding the client's specific rituals and triggers.
C. The first step in managing obsessive-compulsive disorder (OCD) is understanding the triggers or precipitating factors for the client's ritualistic behaviors. This helps the nurse identify patterns and understand the client's anxiety, which is essential for planning further interventions.
D. Discussing alternative coping strategies is important but should follow an assessment of the factors that drive the compulsive behaviors.
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