A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?

Cognitive abilities, memory, and attention.

The patient's mood state and affect.

The patient's physical height and weight.

Activity level, speech pattern, and self-care.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Cognitive abilities, memory, and attention are important cognitive functions to assess in patients with bipolar disorder. However, when addressing aggressive behavior and impulsivity, the focus should be on observing and documenting behavioral aspects rather than cognitive functions. These cognitive functions might be affected, but they are not the primary aspects of interest in this context.

Choice B rationale:

The patient's mood state and affect are indeed important considerations, especially in the context of bipolar disorder. However, the question specifically asks about aggressive behavior and impulsivity. While mood and affect might influence behavior, they are not the same as behavior. Choice D directly addresses the aspects of behavior relevant to the situation.

Choice C rationale:

Physical height and weight are not directly relevant to the assessment of aggressive behavior and impulsivity in a client with bipolar disorder. These measurements are more related to physical health rather than the behavioral or psychosocial aspects of the patient's presentation.

Choice D rationale:

This is the correct choice. Aggressive behavior and impulsivity are behavioral manifestations that can provide important insights into the patient's mental state and psychosocial functioning. Observing and documenting activity level, speech pattern, and self-care behaviors can help understand the extent and nature of these behaviors, which are relevant to the client's bipolar disorder diagnosis.

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Correct Answer is C

Explanation

Choice A rationale:

The GAD-7 (Generalized Anxiety Disorder 7-item scale) is a self-report questionnaire designed to assess the severity of generalized anxiety symptoms. While anxiety and depression often coexist, the GAD-7 focuses on anxiety symptoms and wouldn't provide a comprehensive assessment of depression severity.

Choice B rationale:

The BAI (Beck Anxiety Inventory) is used to measure the severity of anxiety symptoms, not depression. It wouldn't be the appropriate tool for assessing depression in this context.

Choice C rationale:

This is the correct answer. The PHQ-9 (Patient Health naire-9) is a widely used self-report tool specifically designed to measure the severity of depressive symptoms. It covers various domains of depression, such as mood, sleep, appetite, and concentration, and is suitable for assessing the impact of depression on an individual's functioning.

Choice D rationale:

The CAGE questionnaire is used to assess alcohol misuse, not depression. It consists of four questions aimed at identifying potential alcohol-related problems. While substance use disorders can co-occur with depression, the CAGE is not the appropriate tool for assessing depression severity and impact.

A. Dialectical behavior therapy (DBT). B. Cognitive-behavioral therapy (CBT). C. Family-focused therapy (FFT). D. Interpersonal and social rhythm therapy (IPSRT). E. Exposure therapy.

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale:

Dialectical behavior therapy (DBT) is not commonly used as a psychotherapeutic intervention for managing bipolar disorder. DBT is often used to treat borderline personality disorder and focuses on emotional regulation and interpersonal skills.

Choice B rationale:

Cognitive-behavioral therapy (CBT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It helps individuals identify and change negative thought patterns and behaviors, which can be valuable in managing both depressive and manic symptoms.

Choice C rationale:

Family-focused therapy (FFT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It involves the family in the treatment process and aims to improve communication, problem-solving, and support within the family unit.

Choice D rationale:

Interpersonal and social rhythm therapy (IPSRT) is commonly used as a psychotherapeutic intervention for managing bipolar disorder. It focuses on stabilizing daily routines and sleep patterns, which can help prevent mood episodes and maintain stability.

Choice E rationale:

Exposure therapy is not commonly used for managing bipolar disorder. Exposure therapy is typically used to treat anxiety disorders, particularly phobias and post-traumatic stress disorder (PTSD), and involves gradually exposing individuals to their feared situations or memories to reduce anxiety.

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A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with major depressive disorder (MDD). Which assessment tool can the nurse use to measure the severity and impact of depression on the patient’s functioning?

Correct Answer is C

Explanation

A nurse is educating a group of nursing students about psychotherapeutic interventions for bipolar disorder. Select all the psychotherapeutic interventions that are commonly used for managing bipolar disorder.

Correct Answer is ["B","C","D"]

Explanation

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A nurse is discussing treatment approaches for bipolar disorder with a client. Which class of medications is considered the gold standard for bipolar disorder treatment due to its efficacy in both acute and maintenance phases?

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A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?

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