A nurse is assessing a patient with bipolar disorder. Which aspect of the patient's psychosocial status should the nurse evaluate during the assessment?
Physical vital signs and body mass index.
The patient's medication history and laboratory tests.
The quality, intensity, and range of emotional expression.
The patient's social and emotional well-being.
The Correct Answer is C
Choice A rationale:
Physical vital signs and body mass index (BMI) are important indicators of the patient's physical health. However, when assessing a patient with bipolar disorder, the focus should be on their psychosocial status rather than their physical health. Bipolar disorder primarily affects mood and emotions, so evaluating physical vital signs and BMI might not provide relevant information about the patient's psychosocial well-being.
Choice B rationale:
The patient's medication history and laboratory tests are crucial for understanding their medical treatment and potential physiological factors contributing to their bipolar disorder. However, this choice emphasizes the medical aspect rather than the psychosocial aspect of the patient's condition. While medication history and lab tests are important, they do not directly address the psychosocial evaluation that is required for understanding emotional expression in bipolar disorder.
Choice C rationale:
This is the correct choice. Bipolar disorder involves significant mood swings, from manic to depressive episodes. Assessing the quality, intensity, and range of emotional expression is essential to understand the patient's current emotional state, which is a fundamental aspect of their psychosocial well-being. It provides insight into potential mood fluctuations, which are characteristic of bipolar disorder.
Choice D rationale:
Social and emotional well-being is indeed crucial for individuals with bipolar disorder. However, this choice is too broad and general. The question specifically asks for an aspect related to psychosocial status that should be evaluated during the assessment. Choice C provides a more specific and relevant focus on emotional expression, which is directly tied to bipolar disorder symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.