A 22-year-old woman recently began treatment with fluoxetine (Prozac) for major depressive disorder. She now exhibits symptoms of mania. She completes the Young Mania Rating Scale (YMRS) and her score is 25. What does this indicate?
Moderate mania
Mild mania
Severe mania
Minimal mania
The Correct Answer is A
Choice A reason: This choice is correct because a YMRS score of 20–29 indicates moderate mania, reflecting significant mood elevation, increased activity, and behavioral disturbances that require monitoring and possibly treatment adjustment.
Choice B reason: Mild mania corresponds to YMRS scores of 12–19, indicating less pronounced symptoms than observed in this patient.
Choice C reason: Severe mania corresponds to YMRS scores of 30 or higher, which would reflect extreme agitation, psychosis, or risk to self/others.
Choice D reason: Minimal mania corresponds to YMRS scores below 12, which does not match the patient’s clinical presentation or score of 25.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Biologically based therapies typically involve ingestion of substances, such as vitamins or supplements, not inhalation of scents.
Choice B reason: Herbal products and supplements are ingested or applied for therapeutic benefit and do not include essential oils used for inhalation.
Choice C reason: Mind-body interventions focus on practices like meditation, yoga, or relaxation techniques, rather than sensory stimulation through scent.
Choice D reason: Aromatherapy involves using scents, such as essential oils, to improve mood, alleviate agitation, or support relaxation, which aligns with this patient’s use of lavender oil.
Correct Answer is C
Explanation
Choice A reason: Autism spectrum disorder primarily involves deficits in social communication and restricted/repetitive behaviors. While some overlap exists, the primary issue here is broad cognitive impairment affecting adaptive functioning, which is more consistent with intellectual disability.
Choice B reason: Global developmental delay applies to children under age 5 with delays in multiple developmental domains. At age 10, this diagnosis is no longer appropriate; intellectual disability is diagnosed instead.
Choice C reason: This choice is correct because intellectual disability is defined by deficits in intellectual functioning (reasoning, problem-solving, learning) and adaptive functioning (communication, social participation, daily living skills). The description matches both criteria.
Choice D reason: Childhood-onset neurocognitive disorder is generally reserved for disorders like early-onset dementia or acquired cognitive impairments, not congenital or developmental intellectual deficits.
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