Assessment of a client reveals severe and sudden mood swings from mania to depression. Which diagnosis should the nurse suspect?
Major depressive disorder
Dysthymic disorder
Personality disorder
Bipolar disorder
The Correct Answer is D
D. Bipolar disorder is characterized by episodes of mania or hypomania (elevated, expansive, or irritable mood, increased energy, racing thoughts) alternating with episodes of depression (sadness, loss of interest, low energy). The mood swings can be severe, and the transition between mood states can occur suddenly.
A. Major depressive disorder is characterized by persistent feelings of sadness and loss of interest or pleasure in activities. It does not involve manic or hypomanic episodes, which are essential for diagnosing bipolar disorder.
B. Dysthymic disorder involves chronic, low-grade depression that lasts for at least two years. It does not typically present with episodes of mania or hypomania.
C. Personality disorders involve enduring patterns of behavior, cognition, and inner experience that deviate markedly from the expectations of the individual's culture. While some personality disorders can present with mood instability, the description of severe and sudden mood swings from mania to depression is not characteristic of personality disorders in general.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. When someone assumes the sick role, society typically grants them permission to prioritize their health and well-being. This often includes being excused from work, school, or other responsibilities to focus on recovery. Rest is an important aspect of recuperation during illness.
A. When someone assumes the sick role, their engagement in social responsibilities typically decreases or is temporarily suspended. This is because the focus shifts towards managing the illness, seeking treatment, and recovering. Social interactions may be reduced due to physical limitations or the need to avoid spreading illness to others.
B. Denial of illness is not characteristic of assuming the sick role. Assuming the sick role involves acknowledging and recognizing the presence of illness, which prompts seeking medical attention and adopting behaviors conducive to recovery.
C. On the contrary, assuming the sick role often involves a change in duties and responsibilities. The individual may need to delegate tasks or take a break from their usual obligations to focus on recuperation and treatment.
Correct Answer is ["A","C","D","E"]
Explanation
A. Purging is a behavior associated with bulimia nervosa, where individuals engage in self-induced vomiting, misuse of laxatives, diuretics, or enemas to compensate for binge eating episodes.
C. Night eating disorder is characterized by recurrent episodes of night eating, typically waking up from sleep to consume food, often accompanied by a lack of appetite in the morning and a significant portion of daily caloric intake occurring after the evening meal.
D. Pica is a disorder characterized by persistent eating of non-nutritive substances, such as clay, dirt, chalk, or paper. Pica involves eating non-food substances and is recognized as an eating disorder due to the potential harm it can cause.
F. Binge eating disorder involves recurrent episodes of consuming large amounts of food within a discrete period, accompanied by a sense of loss of control over eating behavior. Unlike bulimia nervosa, individuals with binge eating disorder do not engage in purging behaviors.
B. Cataplexy is a symptom of narcolepsy, characterized by sudden episodes of muscle weakness or loss of muscle tone, often triggered by strong emotions.
E. Nocturnal myoclonus, also known as periodic limb movement disorder, involves involuntary muscle contractions or jerks during sleep, which can disrupt sleep but is not related to eating behaviors.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
