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 A
Explanation
Choice A reason: The hippocampus is central to the formation and retrieval of long-term memories. Impairment in this region leads to significant anterograde and retrograde memory deficits seen in dementia.
Choice B reason: The hypothalamus regulates homeostasis and autonomic functions but does not play a primary role in memory recall.
Choice C reason: The thalamus acts as a relay station for sensory and motor signals and contributes to attention and consciousness but is not the main center for episodic memory retrieval.
Choice D reason: The amygdala is involved in emotion, fear responses, and emotional memory processing, not the recall of specific episodic memories.
Correct Answer is B
Explanation
Choice A reason: While factually correct, this statement is dismissive and does not validate the patient’s autonomy or concerns.
Choice B reason: This response is accurate and patient-centered, acknowledging the lack of proven benefit while respecting the patient’s choice to use ginkgo biloba.
Choice C reason: This is a personal opinion rather than an evidence-based, professional response and may seem judgmental.
Choice D reason: This statement minimizes the patient’s concern and may provide false reassurance.
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