Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia. Which symptoms should the nurse expect to observe? Select all that apply.

Galactorrhea

Gynecomastia

Social withdrawal

Apathy

Anhedonia

Answer and Explanation

Correct Answer : A,B

Choice A reason: Elevated prolactin levels can lead to galactorrhea, which is the production of breast milk in individuals who are not breastfeeding.

Choice B reason: Gynecomastia, the enlargement of breast tissue in males, can also be a symptom associated with high prolactin levels.

Choice C reason: Social withdrawal is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

Choice D reason: Apathy can be a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

Choice E reason: Anhedonia is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Children's natural activity levels and spontaneity can mimic the hyperactivity of bipolar mania, making it challenging to differentiate between typical behavior and symptoms of a mood disorder.

Choice B reason: This statement is incorrect; bipolar disorder can be diagnosed before the age of 18. Early-onset bipolar disorder is recognized and can be diagnosed in children and adolescents.

Choice C reason: ADHD and bipolar disorder share common symptoms such as impulsivity and inattention, which can complicate the differential diagnosis, especially in younger populations.

Choice D reason: Neurotransmitter levels do indeed vary with age, which can affect mood and behavior, thereby complicating the diagnosis of bipolar disorder in young individuals.

Choice E reason: While genetic predisposition plays a role in bipolar disorder, it alone is not a definitive diagnostic determinant due to the complex interplay of genetic and environmental factors.

A. Persistently ask the same question until answered. B. Give the client ample time to answer the questions asked. C. Ask simple questions instead of compound questions. D. Provide simple explanations to the client as often as required. E. Take frequent breaks during the interview process.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: Persistently asking the same question can increase agitation in clients with dementia.

Choice B reason: Allowing ample time for responses can reduce pressure and agitation in clients with dementia.

Choice C reason: Simple questions are easier for clients with dementia to understand and respond to.

Choice D reason: Providing simple explanations can help clients with dementia understand the purpose of the questions.

Choice E reason: Taking frequent breaks can help prevent fatigue and agitation during the assessment process.

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Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia. Which symptoms should the nurse expect to observe? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

Correct Answer is ["B","C","D","E"]

Explanation

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?