A nurse is providing education to a group of nursing students about the signs and symptoms of manic episodes in bipolar disorder. Which of the following statements accurately describes a characteristic of a manic episode?

A person experiencing a manic episode may exhibit increased sleep duration.

During a manic episode, a person typically displays reduced goal-directed activity.

In a manic episode, a person may have a decreased need for social interaction.

Individuals in a manic episode may experience feelings of sadness and hopelessness.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

Choice A rationale:

The GAD-7 (Generalized Anxiety Disorder 7-item scale) is a self-report questionnaire designed to assess the severity of generalized anxiety symptoms. While anxiety and depression often coexist, the GAD-7 focuses on anxiety symptoms and wouldn't provide a comprehensive assessment of depression severity.

Choice B rationale:

The BAI (Beck Anxiety Inventory) is used to measure the severity of anxiety symptoms, not depression. It wouldn't be the appropriate tool for assessing depression in this context.

Choice C rationale:

This is the correct answer. The PHQ-9 (Patient Health naire-9) is a widely used self-report tool specifically designed to measure the severity of depressive symptoms. It covers various domains of depression, such as mood, sleep, appetite, and concentration, and is suitable for assessing the impact of depression on an individual's functioning.

Choice D rationale:

The CAGE questionnaire is used to assess alcohol misuse, not depression. It consists of four questions aimed at identifying potential alcohol-related problems. While substance use disorders can co-occur with depression, the CAGE is not the appropriate tool for assessing depression severity and impact.

A. Dry mouth. B. Weight loss. C. Constipation. D. Insomnia.

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.

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A nurse is providing education to a group of nursing students about the signs and symptoms of manic episodes in bipolar disorder. Which of the following statements accurately describes a characteristic of a manic episode?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with major depressive disorder (MDD). Which assessment tool can the nurse use to measure the severity and impact of depression on the patient’s functioning?

Correct Answer is C

Explanation

A nurse is educating a patient about SNRI antidepressant medication. What is a common side effect of SNRIs that the nurse should include in the teaching?

Correct Answer is D

Explanation

(Select all that apply): A nurse is administering an MAOI antidepressant to a patient with MDD. What should the nurse teach the patient to avoid while on this medication? (Select three).

A client is diagnosed with bipolar disorder and is currently experiencing a hypomanic episode. Select all the symptoms that could be present during a hypomanic episode.

A nurse is assessing a client who is exhibiting symptoms of a manic episode. The client states, "I am the most important person in the world, and I have unique abilities that no one else possesses." What is the appropriate nursing response?

A nurse is discussing treatment approaches for bipolar disorder with a client. Which class of medications is considered the gold standard for bipolar disorder treatment due to its efficacy in both acute and maintenance phases?

A client with bipolar disorder is prescribed an antidepressant medication as part of their treatment plan. Which of the following is an important consideration when administering antidepressants to individuals with bipolar disorder?

A client with MDD has been prescribed an SSRI antidepressant. The nurse should instruct the client to:

A nurse is educating a support group about depressive episodes in bipolar disorder. Which statement accurately describes a symptom of a depressive episode?

A client with bipolar disorder is displaying aggressive behavior and impulsivity. What aspect of the patient's behavior should the nurse observe and document during the assessment?