A client with bipolar disorder rates their mood as 9 on a scale of 1 to 10, where 1 is the lowest and 10 is the highest. What could the nurse say to the client in this situation?

"It's great that you're feeling this way. Your mood seems stable.".

"You must be feeling really low to rate your mood as 9.".

"Tell me more about why you rated your mood so high.".

"Your mood rating suggests that you're feeling depressed.".

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

Choice A rationale: This response is not appropriate as rating a mood as 9 indicates a very high mood, possibly hypomania or mania, rather than stability.

Choice B rationale: This response incorrectly interprets the client's rating. A 9 indicates a high mood, not a low one.

Choice C rationale: Asking the client to explain why they rated their mood so high allows the nurse to gather more information about the client's current state and any possible symptoms of mania.

Choice D rationale: This response is incorrect as a mood rating of 9 indicates a high mood, not depression.

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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. They have the same mechanisms of action as SSRIs. B. Bupropion blocks the reuptake of dopamine and norepinephrine. C. Mirtazapine blocks serotonin and histamine receptors. D. Trazodone blocks the reuptake of serotonin only. E. They are associated with common side effects such as dry mouth and blurred vision.

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

Explanation

Choice B rationale:

Bupropion, an atypical antidepressant, indeed blocks the reuptake of both dopamine and norepinephrine. Unlike many other antidepressants, which primarily target serotonin, bupropion's mechanism of action involves increasing the levels of dopamine and norepinephrine in the brain.

Choice C rationale:

Mirtazapine, another atypical antidepressant, blocks serotonin and histamine receptors. By blocking histamine receptors, mirtazapine often leads to drowsiness, which can be a side effect of this medication.

Choice E rationale:

Atypical antidepressants are associated with common side effects such as dry mouth and blurred vision. These side effects are often due to their impact on various neurotransmitter systems, including histamine and acetylcholine. Choices A and D are incorrect because they misrepresent the mechanisms of atypical antidepressants.

Choice A rationale:

Choice A (They have the same mechanisms of action as SSRIs) is incorrect. Atypical antidepressants have different mechanisms of action compared to SSRIs. While SSRIs primarily target serotonin reuptake inhibition, atypical antidepressants like bupropion and mirtazapine have unique mechanisms involving other neurotransmitters.

Choice D rationale:

Choice D (Trazodone blocks the reuptake of serotonin only) is incorrect. Trazodone is an atypical antidepressant with a complex mechanism of action. It is an antagonist at certain serotonin receptors and inhibits serotonin reuptake, but it also has antagonistic effects on histamine receptors, which contribute to its sedative properties.

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A client with bipolar disorder rates their mood as 9 on a scale of 1 to 10, where 1 is the lowest and 10 is the highest. What could the nurse say to the client in this situation?

Nursing Test Bank

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

(Select all that apply): A client with MDD is prescribed an atypical antidepressant. Which statements are true about atypical antidepressants? (Select three).

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

Explanation

A client with bipolar disorder is experiencing a mixed mood state. What aspects of the assessment should the nurse prioritize in this situation? Select all that apply:

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?

A client with MDD tells the nurse, "I just can't see any way out of this. Life is hopeless." Which therapeutic response should the nurse provide?

A nurse is providing education to a client with bipolar disorder about benzodiazepines. Which statement accurately describes a potential side effect of benzodiazepines?

A client with bipolar disorder is exhibiting signs of impaired judgment and poor insight. What should the nurse assess and document about the client's cognitive abilities?

A nurse is assessing a patient with bipolar disorder. Which aspect of the patient's psychosocial status should the nurse evaluate during the assessment?

(Select all that apply): A nurse is administering an MAOI antidepressant to a patient with MDD. What should the nurse teach the patient to avoid while on this medication? (Select three).

A nurse is assessing a patient with bipolar disorder. Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply: