A nurse is collecting data on a client and finds that Ari is always manic but has had one depressive episode in the last year. Which of the following diagnosis should the nurse suspect?
Bipolar type
Bipolar type I
Bipolar mixed
Anxiety
The Correct Answer is B
A. Bipolar type is not a specific classification; the nurse needs to differentiate between bipolar I and II.
B. Bipolar type I involves manic episodes that last for at least a week or require hospitalization, with possible depressive episodes. The presence of a depressive episode confirms bipolar type I.
C. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not described here.
D. Anxiety is unrelated to the symptoms described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Acknowledge the client’s delusion while gently redirecting them to the necessary activity (group
therapy). This approach maintains engagement without directly confronting the delusion.
B. Ignoring the delusion and focusing only on group therapy may cause the client to feel unheard or dismissed.
C. Dismissing the delusion is not therapeutic and could undermine trust.
D. Asking "why" could challenge the delusion, leading to defensiveness rather than productive conversation.
Correct Answer is C
Explanation
A. Encouraging physical activity, like a daily walk, is a positive way to support the client’s mental health
and can help with symptoms of depression.
B. Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan.
C. Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance.
D. Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.
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