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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Psychotic behavior is not common in postpartum depression; it is more associated with postpartum psychosis, a rare and severe form of the condition.
Choice B reason: Harming the infant is not a common manifestation of postpartum depression and is a misconception.
Choice C reason: Postpartum depression does not typically begin 48 hours after childbirth; this is more indicative of the "baby blues," which are less severe and more transient.
Choice D reason: Women with a history of depression are at a higher risk for postpartum depression, making this statement accurate.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.
Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.
Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.
Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.
Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.
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