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.
Children are naturally active, energetic, and spontaneous.
The diagnosis of Bipolar Disorder cannot be assigned prior to the age of 18.
Symptoms of bipolar disorder are similar to those of attention deficit-hyperactivity disorder (ADHD).
Neurotransmitter levels vary considerably in accordance with age.
Genetic predisposition is not a reliable diagnostic determinant.
Correct Answer : A,C,D,E
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","F"]
Explanation
Choice A reason: Increasing dietary fiber can help manage constipation, which is a common side effect of antipsychotic medications. The normal range for dietary fiber intake in adults is 25 to 30 grams per day from food, not supplements.
Choice B reason: Antipsychotic medications can increase photosensitivity, making the skin more susceptible to sunburn. Using sunscreen can help protect the skin when outdoors.
Choice C reason: While laxatives can be used to manage constipation, they should be used sparingly and only as needed to avoid dependence and potential electrolyte imbalances.
Choice D reason: Regular physical activity can help counteract weight gain, another potential side effect of antipsychotic medications. It's recommended to engage in at least 150 minutes of moderate-intensity exercise per week.
Choice E reason: Doubling the dose at the next scheduled time for missed doses is not recommended as it can lead to an overdose and exacerbate side effects.
Choice F reason: Drinking plenty of fluids, including fruit juice, can help prevent dehydration. However, it's important to monitor sugar intake from fruit juices due to the risk of weight gain.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: While sleep disorders can be associated with eating disorders, breathing-related sleep disorders are not commonly known as a direct comorbidity.
Choice B reason: Schizophrenia is a separate mental health condition and is not typically considered a comorbidity of eating disorders.
Choice C reason: OCD can be a comorbidity of eating disorders, as both involve anxiety and control issues.
Choice D reason: Anxiety is commonly comorbid with eating disorders, as anxiety can contribute to the development and maintenance of these disorders.
Choice E reason: Depression is often comorbid with eating disorders, as the psychological distress related to eating disorders can lead to depressive symptoms.
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