In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?
Major depressive disorder
Bipolar type II
Bipolar mixed
Bipolar type I
The Correct Answer is B
A. Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder.
B. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described.
C. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here.
D. Bipolar type I involves manic episodes, which are not mentioned in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B. Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C. Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D. Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E. Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.
Correct Answer is B
Explanation
A. While the voices may be part of the illness, it is important to acknowledge the client’s experience
without dismissing it.
B. Acknowledging the client's experience ("I know you hear the voices, but I do not") is important in establishing rapport and validating their reality.
C. Asking how often the voices are heard can be useful, but acknowledging the client’s perception
should be the first priority.
D. Asking what the voices are telling the client may come later, after the client’s experience has been
acknowledged.
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