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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

A. Aerobic B. Weight-bearing C. Running D. Daily

Correct Answer is B

Explanation

A. Aerobic: While aerobic exercises improve cardiovascular health, they are less effective in building muscle strength needed to prevent falls.
B. Weight-bearing: Weight-bearing exercises, such as resistance training, help strengthen muscles and improve balance, reducing the risk of falls.
C. Running: Running may be too intense and not suitable for all aging patients, particularly those with joint issues or balance problems.
D. Daily: The frequency of exercise is less relevant than the type; weight-bearing exercises specifically target muscle strength.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?

Correct Answer is D

Explanation

To help prevent falls related to muscle weakness, what type of exercises should be selected for the aging patient?

Correct Answer is B

Explanation

A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for which most common cause of burn-related deaths?

Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?

What is a nursing intervention that helps to build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs?

A nurse is caring for an older adult who lives in a long-term care facility on the Alzheimer unit. Every evening around 5:00 p.m., the resident becomes increasingly agitated and more confused, a state that lasts throughout the evening. The nurse recognizes this behaviour as:

"Self is a complex concept compromising four distinct parts that influence behaviour. What part includes feeling about the way one's body functions?

A nurse arrives at an accident scene where the victim has just received an electrical burn. Which is the nurse's primary concern?

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?

When a patient is experiencing a panic attack, how should the nurse best assist the patient?