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 D

Explanation

A. Assigning a private room may increase isolation, which is not conducive to a therapeutic environment.
B. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for
suicide prevention.
C. Removing utensils is not necessary unless the client has direct access to harmful objects.
D. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.

A. Bipolar type B. Bipolar type I C. Bipolar mixed D. Anxiety

Correct Answer is B

Explanation

A. Bipolar type is not a specific classification; the nurse needs to differentiate between bipolar I and II.
B. Bipolar type I involves manic episodes that last for at least a week or require hospitalization, with possible depressive episodes. The presence of a depressive episode confirms bipolar type I.
C. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not described here.
D. Anxiety is unrelated to the symptoms described.

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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 assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?

Correct Answer is D

Explanation

A nurse is collecting data on a client and finds that Ari is always manic but has had one depressive episode in the last year. Which of the following diagnosis should the nurse suspect?

Correct Answer is B

Explanation

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