A 24-year-old woman presents to the PMHNP for a psychiatric evaluation with a chief complaint of depression. Upon questioning, the client states that during certain periods of time, she has needed little sleep but still felt energetic. She has had "creative spurts” during these periods, during which she has started new projects, such as home decorating and writing a book. Which of the following assessment tools will the PMHNP use to assist in diagnosis?
Observer-Rated Scale for Mania
Mood Disorders Questionnaire (MDQ)
Patient Health Questionnaire-9 (PHQ-9)
Young Mania Rating Scale
The Correct Answer is B
Choice A reason: The Observer-Rated Scale for Mania is used by clinicians to assess manic symptoms but is less practical for initial self-reported screening in outpatient settings.
Choice B reason: The Mood Disorders Questionnaire (MDQ) is a self-report screening tool designed to identify symptoms of bipolar disorder, including periods of elevated mood and increased energy, making it appropriate for this patient’s history.
Choice C reason: The PHQ-9 assesses depressive symptoms but does not screen for hypomanic or manic episodes.
Choice D reason: The Young Mania Rating Scale (YMRS) is used for rating current manic severity but is not a screening tool for past hypomanic or manic episodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Gabapentin is used for neuropathic pain but is generally not first-line for mild to moderate carpal tunnel syndrome, especially during pregnancy.
Choice B reason: Anti-inflammatory medications may be limited during pregnancy due to safety concerns and are not the most effective treatment for compressive neuropathy in the wrist.
Choice C reason: Corticosteroids can provide relief but systemic steroids are generally avoided in pregnancy unless necessary; localized corticosteroid injections may be used but are second-line.
Choice D reason: This choice is correct because wrist splinting, particularly at night, is the first-line conservative treatment for carpal tunnel syndrome, especially in pregnant patients. It helps maintain the wrist in a neutral position, reducing pressure on the median nerve and alleviating symptoms.
Correct Answer is B
Explanation
Choice A reason: The triglyceride triad refers to elevated triglycerides, small dense LDL, and low HDL, which is part of metabolic syndrome but not the overall term.
Choice B reason: Metabolic syndrome is the correct term encompassing obesity, insulin resistance, dyslipidemia, and hypertension, which collectively increase the risk of cardiovascular disease, diabetes, and stroke.
Choice C reason: Cardiovascular cluster is not a standardized medical term.
Choice D reason: Endocrine failure refers to organ-specific hormonal insufficiency and is unrelated to metabolic syndrome.
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