For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder?
Bipolar disorder
Dysthymic disorder
Hypomanic episode
Unipolar depression
The Correct Answer is A
A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.
C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.
D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Trim the fingernails short to prevent skin damage from scratching. While this is good advice to prevent further skin damage, it does not directly address the itching.
B. Use cool, wet dressings and baths to promote vasoconstriction. Cool, wet dressings and baths can help soothe itching and reduce inflammation by promoting vasoconstriction.
C. Expose the areas to the sun to promote drying and healing of the lesions. Sun exposure can worsen irritation and is not recommended for treating contact dermatitis.
D. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation. While this can prevent further irritation, it does not directly manage the itching.
Correct Answer is D
Explanation
A. Is commonly known as a cold sore: Cold sores are typically caused by herpes simplex type 1 (HSV-1), not type 2.
B. Usually affects the labia in women. While HSV-2 can affect the labia, it is not exclusive to this area and can affect other genital regions in both men and women.
C. Is characterized by a vesicle at the corner of the mouth, lips, or nose. These symptoms are more characteristic of HSV-1.
D. Is often associated with lesions in the genital area. Herpes simplex type 2 (HSV-2) is primarily associated with genital herpes, causing lesions and outbreaks in the genital and anal areas.
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