The nurse understands that the client alternating between hypomania and mild to moderate depression is experiencing which disorder?
Bipolar I disorder
Bipolar II disorder
Cyclothymic disorder
Schizophrenia
The Correct Answer is B
Rationale:
A. Bipolar I disorder involves episodes of full mania, not just hypomania.
B. Bipolar II disorder is characterized by alternating episodes of hypomania and major depression (often mild to moderate).
C. Cyclothymic disorder involves milder mood swings but does not meet criteria for hypomania or major depression.
D. Schizophrenia is a psychotic disorder, not primarily a mood disorder with hypomanic and depressive episodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. While depression may contribute to substance use, this choice makes an assumption about the patient's emotional state without adequate context.
B. Individuals with bipolar disorder often use substances like alcohol to manage or "self-medicate" their mood symptoms instead of taking prescribed medications.
C. This statement is overly simplistic and not clinically accurate; behavior is influenced by multiple factors, not just neurotransmitter levels.
D. While anxiety might coexist, this statement is vague and doesn't directly explain the pattern of substituting alcohol for prescribed medications.
Correct Answer is A
Explanation
Rationale:
A. A lithium serum level between 0.6 and 1.2 mEq/L is generally considered within the therapeutic range for maintenance treatment.
B. Above therapeutic limits would typically be >1.5 mEq/L, which increases toxicity risk.
C. While timing of blood draw is important, an 8-hour interval is acceptable for monitoring lithium levels (usually drawn 12 hours post-dose but 8 hours is still interpretable).
D. A level of 1 mEq/L is not below therapeutic limits.
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