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. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.
Correct Answer is B
Explanation
A. 3 hours: Withdrawal symptoms usually do not appear as soon as 3 hours after cessation.
B. 6 hours: Alcohol withdrawal symptoms typically begin 6 to 12 hours after the last drink.
C. 4 hours: This is slightly early for the typical onset of withdrawal symptoms.
D. 5 hours: While close, the more common range is around 6 hours.
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