In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?

Major depressive disorder

Bipolar type II

Bipolar mixed

Bipolar type I

Answer and Explanation

The Correct Answer is B

A.   Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder.
B.   Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described.
C.   Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here.
D.   Bipolar type I involves manic episodes, which are not mentioned in this scenario.

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Correct Answer is B

Explanation

A. Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm.
B. Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors.
C. Resources for group therapy in the community are valuable but secondary to ensuring immediate safety.
D. Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.

A. The client is hostile and sarcastic towards the staff. B. The client paces in the hallway during the day and most of the night. C. The client gives money away to other clients. D. The client demonstrates flight of ideas once a week but is more quiet during meals

Correct Answer is B

Explanation

A. Hostility and sarcasm are concerning, but they are not as urgent as the risk of injury associated with hyperactivity.
B. Pacing in the hallway during the day and night is indicative of extreme restlessness and may lead to exhaustion or self-harm. The nurse should address this behavior to prevent harm.
C. Giving money away may be problematic, but it is a less immediate risk compared to physical safety.
D. Flight of ideas is a common symptom of mania, but it is less dangerous than pacing and hyperactivity, which can lead to physical harm.

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In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?

Correct Answer is B

Explanation

The nurse is teaching the family of a client about the signs and symptoms of major depression prior to the discharge of their loved one from an inpatient stay after a suicide attempt. Which statement by a family member warrants further education by the nurse?

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