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 A
Explanation
A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
Correct Answer is B
Explanation
A. Site of the lesions: The site of the lesions is addressed by the "S" in some mnemonics, but in PQRST, it refers to severity.
B. Severity of the symptoms: In the PQRST mnemonic for pain assessment, "S" stands for severity, referring to how intense or bothersome the symptoms are.
C. Surface area of the lesions: Surface area is not typically included in the PQRST mnemonic but may be relevant for other assessments.
D. Symptomatology of the lesions: Symptomatology encompasses the overall symptoms but is not specifically what "S" represents in PQRST.
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