Four new patients were admitted to the behavioral health unit in the past 12 hours. The nurse directs a psychiatric technician to monitor these patients for safety. Which patient will need the most watchful supervision? A patient diagnosed with
dysthymic disorder
bipolar II disorder
bipolar I disorder
cyclothymic disorder
The Correct Answer is C
Rationale:
A. Dysthymic disorder is a chronic mild depression and typically does not require intensive supervision.
B. Bipolar II disorder involves hypomania and depression but less severe mania than Bipolar I.
C. Bipolar I disorder includes full manic episodes which can involve risky, impulsive, or aggressive behavior requiring close supervision for safety.
D. Cyclothymic disorder involves milder mood swings and generally lower risk behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. This approach is confrontational and accusatory, which may escalate agitation in a hyperactive or manic patient.
B. This response sets clear limits in a calm, supportive, and non-threatening manner, while also offering assistance with impulse control.
C. This statement is shaming and could escalate aggression rather than de-escalate the situation.
D. This is a threat rather than a therapeutic intervention, and it may increase the patient's agitation or resistance.
Correct Answer is B
Explanation
Rationale:
A. Arthritis does not typically affect lithium metabolism or clearance.
B. Heart failure can impair renal function and fluid balance, increasing the risk of lithium toxicity and making serum concentration monitoring critical.
C. Psoriasis does not interfere with lithium pharmacokinetics.
D. Epilepsy is not directly related to lithium metabolism, though caution is warranted if the patient is on other medications.
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