Your patient, who is manic, says, "Everything I do is great." How should you respond?

"Yes, I am happy for you."

"No one can be great at everything."

"Keep it up."

"Tell me about a time in your life when things didn't go as planned."

Answer and Explanation

The Correct Answer is D

Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.

Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.

Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.

Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.

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Correct Answer is B

Explanation

Choice A reason: While all individuals can develop heart failure, an Asian male is not considered the highest risk group based on the available data.

Choice B reason: A Black female is at a higher risk for developing heart failure, especially due to factors like hypertension, diabetes, and certain socioeconomic factors³.

Choice C reason: A Hispanic female may have multiple risk factors for heart failure, but the prevalence and risk are not as high as in the Black female population³.

Choice D reason: A White male, while at risk for heart failure, does not have the highest risk when compared to a Black female with the same age and health conditions³.

A. Grief after a major loss can mimic depression. B. It is common after a myocardial infarction (MI). C. Children and adolescents can suffer from depression. D. It is more common in men than women.

Correct Answer is D

Explanation

Choice A reason: Grief after a major loss can indeed mimic the symptoms of depression, but it is not considered clinical depression unless the symptoms persist and meet specific criteria.

Choice B reason: Depression is common after a myocardial infarction (MI) due to the emotional and physical stress of the event and recovery process.

Choice C reason: Children and adolescents can and do suffer from depression, and it is important for it to be recognized and treated appropriately.

Choice D reason: Depression is more common in women than in men, which makes the statement incorrect.

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Your patient, who is manic, says, "Everything I do is great." How should you respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

Correct Answer is B

Explanation

Which of the following is not true about depression?

Correct Answer is D

Explanation

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?

Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

The healthcare provider (HCP) informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

After hospitalization for a myocardial infarction, a patient is placed on a low-sodium diet. In discussing foods allowed on this diet, the nurse would inform the patient that this includes which of the following?

A patient hospitalized with a myocardial infarction suddenly begins having severe respiratory distress with frothy red sputum. What is the first action for the nurse to take?

Which statement is most true about bipolar disorder?