For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder?
Bipolar disorder
Dysthymic disorder
Hypomanic episode
Unipolar depression
The Correct Answer is A
A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.
C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.
D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Anxiety related to uncertainty of the events of the test: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
B. Deficient knowledge related to lack of information regarding the procedure: While providing information is important, the immediate emotional response (anxiety) takes priority as it can impact the patient's experience of the procedure.
C. Disturbed thought process related to confusion: While disturbed thought processes are relevant, they are not the primary concern pre-procedure.
D. Disturbed thought process related to temporary memory loss: Temporary memory loss can occur post-ECT, but addressing pre-procedure anxiety is a more immediate priority.
Correct Answer is B
Explanation
A. Heart attacks due to increased effort to ambulate: While heart attacks are a concern, they are not directly related to musculoskeletal changes and posture.
B. Falls related to posture changes: Age-related changes such as decreased muscle mass and changes in posture increase the risk of falls.
C. Fractures due to poor uptake of calcium: While decreased calcium absorption can lead to fractures, age-related musculoskeletal changes like posture and muscle weakness are more directly linked to fall risk.
D. Respiratory failure due to kyphosis: Kyphosis can impact respiratory function, but the most direct risk from musculoskeletal changes in older adults is falls.
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