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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Dry mouth is a common side effect of many medications, but it is not a distinctive side effect of SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Dry mouth is more commonly associated with medications that affect salivary gland function, such as anticholinergic drugs.
Choice B rationale:
Weight loss can indeed be a side effect of SNRIs. These medications can impact appetite and metabolism, leading to weight loss in some individuals. However, it is not the most common or distinctive side effect when compared to other options.
Choice C rationale:
Constipation is a side effect that can occur with SNRIs, but it's not as prevalent or characteristic as some other side effects. Constipation is often associated with medications that have anticholinergic effects, which SNRIs generally have to a lesser extent.
Choice D rationale:
(Correct Choice) Insomnia is a well-known side effect of SNRIs. These medications can affect sleep patterns and may cause difficulties falling asleep or staying asleep. This side effect is particularly relevant to discuss with patients because it can impact their quality of life and overall well-being.
Correct Answer is C
Explanation
Choice A rationale:
Increased sleep duration is not a characteristic of manic episodes in bipolar disorder. In fact, decreased need for sleep is a common symptom of manic episodes. Individuals experiencing a manic episode often report feeling restless and having a decreased need for sleep.
Choice B rationale:
Reduced goal-directed activity is not typical of manic episodes. During manic episodes, individuals often exhibit heightened goal-directed activity, excessive energy, and increased involvement in various activities. This can lead to a decreased ability to focus on one task at a time.
Choice C rationale:
Correct Choice In a manic episode, individuals may display a decreased need for social interaction. They might engage in excessive socializing, seek out new social interactions, and exhibit a heightened level of confidence in their ability to engage with others. This increased sociability can sometimes be characterized by rapid speech and impulsiveness in social situations.
Choice D rationale:
Feelings of sadness and hopelessness are not indicative of manic episodes. These emotions are more aligned with depressive episodes in bipolar disorder rather than manic ones. Manic episodes are characterized by elevated mood, increased energy, and a sense of euphoria or grandiosity.
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