The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder?

Loss of appetite

Insomnia

Emotional lability

Anxiety

Answer and Explanation

The Correct Answer is C

A.   Loss of appetite can be a symptom of PMDD, but it is not the primary manifestation.
B.   Insomnia can be a symptom of PMDD, but it is not the primary manifestation.
C.   Emotional lability, or rapid and intense mood swings, is a primary manifestation of PMDD.
D.   Anxiety can be a symptom of PMDD, but it is not the primary manifestation.

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Correct Answer is D

Explanation

A. Increasing aggression may be an indication for a PRN medication, but benztropine specifically targets extrapyramidal symptoms (EPS).
B. Elevated blood pressure is not a direct indication for benztropine; it is used to address EPS.

C. Complaints of dizziness may not be directly related to EPS, which is the target of benztropine.
D. Benztropine is an anticholinergic medication used to manage extrapyramidal symptoms (EPS) associated with antipsychotic medications like haloperidol.

A. Orienting the client to the unit B. Reinforcing reality with the client C. Establishing a nonthreatening relationship D. Assessing the client for physical problems

Correct Answer is D

Explanation

A. Orienting the client to the unit While orientation is important, the client's prolonged
immobility and stupor necessitate a physical assessment first to ensure there are no underlying medical issues contributing to this state.

B. Reinforcing reality with the client The client's catatonic state may make it difficult to effectively communicate or engage in reality orientation at this point. Addressing potential physical issues is the initial priority.

C. Establishing a nonthreatening relationship Building a therapeutic relationship is crucial, but given the client's current state, assessing for physical problems takes precedence.

D. Assessing the client for physical problems The client's prolonged catatonic state requires an
immediate physical assessment to rule out any underlying medical conditions contributing to his condition.

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The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder. Which of the following assessments by the nurse would indicate a need for this medication?

Correct Answer is D

Explanation

A 28-year old male admitted with catatonic schizophrenia has been mute and motionless for several days while at home prior to admission. He still appears stuporous in the hospital. Which nursing intervention would be an initial priority?

Correct Answer is D

Explanation

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