A patient with bipolar II disorder is most likely to experience:

Persistent low-grade depression without hypomania

Psychosis during manic episodes

Hypomanic episodes alternating with major depressive episodes

Severe manic episodes

Answer and Explanation

The Correct Answer is C

A. Persistent low-grade depression without hypomania is not typical of bipolar II disorder, as hypomanic episodes are a key feature of the disorder.

B. Psychosis is more common during full manic episodes, typically seen in bipolar I disorder, not bipolar II.

C. Bipolar II disorder is characterized by hypomanic episodes that alternate with major depressive episodes. Hypomania is a less severe form of mania, and individuals with bipolar II do not experience full manic episodes as in bipolar I.

D. Severe manic episodes are characteristic of bipolar I disorder, not bipolar II, which involves hypomanic episodes instead.

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Correct Answer is D

Explanation

A. Potassium 4.2 mEq/L is within the normal range (3.5–5.0 mEq/L).

B. Sodium 136 mEq/L is slightly low but does not warrant withholding lithium. However, sodium levels should be monitored regularly as low sodium increases the risk of lithium toxicity.

C. A calcium level of 9.0 mg/dL is within the normal range (8.5–10.2 mg/dL).

D. An elevated creatinine level (2.1 mg/dL) indicates possible renal dysfunction, which is a concern for lithium use. Lithium is excreted by the kidneys, and impaired renal function increases the risk of lithium toxicity.

A. Sleeping for long periods of time B. Dressing in black or grey clothing C. Talking in rapid, continuous speech D. Spending large sums of money E. Interacting with others in a flirtatious way

Correct Answer is ["C","D","E"]

Explanation

A. Sleeping for long periods of time would typically indicate depression, not mania.

B. Dressing in black or grey clothing is not typically associated with mania; this could be a symptom of depression, which tends to cause social withdrawal and lack of energy.

C. Rapid, continuous speech (pressured speech) is a common symptom of mania, where the individual is unable to control the flow of conversation.

D. Spending large sums of money without regard for the consequences is a typical behavior during manic episodes, often linked to impulsivity and poor judgment.

E. Flirtatious behavior can indicate impulsivity, another characteristic of mania, where the person may act inappropriately or without regard for social boundaries.

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A patient with bipolar II disorder is most likely to experience:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?

Correct Answer is D

Explanation

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?

A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?