What is a potential symptom of bipolar disorder?

Persistent feelings of sadness and hopelessness

Lack of emotions and inability to experience pleasure

Excessive worry or anxiety

Periods of elevated mood and increased energy

Answer and Explanation

The Correct Answer is D

A.   This is a primary symptom of depression, not bipolar disorder. While bipolar disorder can include depressive episodes, it also involves periods of elevated mood.
B.   This is more characteristic of a condition like anhedonia, often associated with depression, not bipolar disorder.
C.   While anxiety can coexist with bipolar disorder, it's not a core symptom of the condition.
D.   This is a hallmark symptom of bipolar disorder, specifically the manic or hypomanic phase.

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Correct Answer is A

Explanation

Competitive games can create stress or pressure, which may exacerbate feelings of inadequacy or hopelessness in patients with severe depression. The competitive nature of these activities might lead to increased anxiety or feelings of failure, which can be counterproductive.

A. "yelling at others is unacceptable." B. "Why did you hit another client C. I'm taking away your privileges for the rest of the week." D. "Your behavior will be disappointing to your provider."

Correct Answer is A

Explanation

A. It’s important for a nurse to address the behavior immediately and to establish expectations for acceptable conduct. However, while this statement is firm, it does not offer immediate guidance or intervention on how to resolve the situation or manage emotions.
B. This statement is not appropriate in this context because it incorrectly assumes the behavior was physical (hitting) rather than verbal (yelling). It also places the client on the defensive and may not
effectively address the immediate situation. Instead of focusing on why the behavior occurred, it’s more
important to manage and de-escalate the current situation first.
C. This response is punitive and does not address the immediate issue or the underlying causes of the behavior. While setting consequences may be part of a broader behavior management plan, immediate actions should focus on de-escalation and safety rather than punishment. Additionally, consequences should be proportionate and ideally involve a discussion with the client about their behavior and its impact.
D. This statement is not effective because it shifts the focus from the immediate behavior to a vague notion of disappointment, which may not address the situation constructively. It’s important for the nurse to be clear about the expectations for behavior and to provide immediate guidance on managing emotions and conflicts.

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What is a potential symptom of bipolar disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patients with severe depression should be encouraged to play competitive games with other patients as a form of recreation.

Correct Answer is A

Explanation

A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

Correct Answer is A

Explanation

In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which descriptions procedure is accurate?

A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?

The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to

A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?

A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?

A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client than the nurse for his help during the hospitalization. Which of the following responses should the nurse make?

What is the purpose of using risperidone in psychiatric treatment?

Suicide is attempted three times more frequently by ________ but is more often successfully completed by ________