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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.
B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.
C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.
D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.
Correct Answer is ["B","D"]
Explanation
A. Diarrhea: TCAs cause anticholinergic effects, which more commonly lead to constipation rather than diarrhea.
B. Weight gain/loss: Weight gain is a common side effect of TCAs, though some clients may experience weight loss.
C. Bradycardia: TCAs are more likely to cause tachycardia, arrhythmias, and orthostatic hypotension, not bradycardia.
D. Sexual dysfunction: TCAs can cause sexual dysfunction, including decreased libido, erectile dysfunction, and anorgasmia.
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