A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Postpartum depression

Bipolar disorder

Premenstrual dysphoric disorder

Cyclothymic disorder

Answer and Explanation

The Correct Answer is C

A. Postpartum depression: Postpartum depression occurs after childbirth, not before menstruation.

B. Bipolar disorder: Bipolar disorder involves mood swings between mania and depression that are not tied to the menstrual cycle.

C. Premenstrual dysphoric disorder (PMDD): PMDD is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances, such as depression, irritability, and anxiety, occurring in the luteal phase (one week before menstruation).

D. Cyclothymic disorder: Cyclothymic disorder is a chronic mood disorder involving frequent mood fluctuations but is not related to the menstrual cycle.

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Correct Answer is C

Explanation

A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.

B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.

C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.

D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.

A. The client has a pleasant affect B. The client appears happy with an elevated mood C. The client self-isolated today D. The client rate their mood 4 out of 10

Correct Answer is D

Explanation

A. The client has a pleasant affect: "Affect" refers to outward emotional expression, whereas "mood" is the client's internal emotional state.

B. The client appears happy with an elevated mood: The nurse should document objective data rather than interpreting the client’s emotions.

C. The client self-isolated today: While self-isolation may indicate mood disturbances, it does not directly document the client’s reported mood.

D. The client rates their mood 4 out of 10: This entry reflects the client’s subjective report using a measurable scale, making it the most accurate documentation.

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A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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