A 24-year-old female client completed the Mood Disorder Questionnaire (MDQ) and scored 7. What does this score indicate to a PMHNP?
She must also check "Yes" on question 2 to warrant further evaluation for bipolar disorder.
To warrant further evaluation for bipolar disorder, she must indicate that these symptoms caused a "moderate" or "serious" problem.
It indicates that a thorough evaluation for bipolar disorder is warranted.
This score in and of itself does not warrant further evaluation for bipolar disorder.
The Correct Answer is C
Choice A reason: While question 2 on the MDQ asks if the symptoms occurred during the same time period, the score of 7 already indicates a threshold number of symptoms for potential bipolar disorder, so it alone can trigger further evaluation.
Choice B reason: The functional impact question helps determine severity, but scoring 7 symptoms suggests the presence of significant mood symptoms regardless of perceived impact, warranting evaluation.
Choice C reason: A score of 7 meets the screening threshold for possible bipolar disorder. This indicates that the patient should undergo a more thorough clinical evaluation to confirm or rule out the diagnosis.
Choice D reason: The score itself is sufficient to suggest the need for further evaluation, so it is incorrect to state that the score does not warrant follow-up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Initiative vs. Guilt occurs in preschool-aged children and involves developing the ability to take initiative, not mastery of accomplishments in school tasks.
Choice B reason: Autonomy vs. Shame and Doubt occurs in toddlers and involves independence and self-control, not school-age achievements.
Choice C reason: Industry vs. Inferiority occurs in school-aged children (6–12 years) and involves developing competence, confidence, and pride in accomplishments, which aligns with this boy’s response.
Choice D reason: Identity vs. Role Confusion occurs in adolescence and relates to self-identity development rather than competence in school tasks.
Correct Answer is C
Explanation
Choice A reason: Williams syndrome presents with distinctive “elfin” facial features, cardiovascular anomalies, and overly friendly behavior, not the described features.
Choice B reason: Rett syndrome primarily affects girls and involves loss of purposeful hand skills, language regression, and stereotypic hand movements.
Choice C reason: Fragile X syndrome is characterized by intellectual disability, long face, large ears, midface hypoplasia, hyperextensible joints, and short stature, matching this patient’s presentation.
Choice D reason: Turner syndrome affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, not the features described.
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