Patients with severe depression should be encouraged to play competitive games with other patients as a form of recreation.

True

False

Answer and Explanation

The Correct Answer is False

Competitive games can create stress or pressure, which may exacerbate feelings of inadequacy or hopelessness in patients with severe depression. The competitive nature of these activities might lead to increased anxiety or feelings of failure, which can be counterproductive.

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Correct Answer is B

Explanation

A. Depression is characterized by persistent feelings of sadness, loss of interest or pleasure in activities, changes in sleep and appetite, and difficulties with daily functioning. However, depression alone might not fully explain the abrupt change if there were no prior context of mood swings or manic behavior.
B. Bipolar disorder is marked by extreme mood swings that include manic or hypomanic episodes and depressive episodes. The observed behaviors—active participation and high energy followed by a
sudden shift to tearfulness and withdrawal—are consistent with the mood cycling seen in bipolar disorder. The manic or hypomanic phase could explain the previous high level of activity, while the depressive phase explains the sudden refusal to engage and withdrawal.
C. Psychotic behavior involves a loss of touch with reality, including hallucinations, delusions, and disorganized thinking. The behaviors described (active participation and then sudden withdrawal) do not specifically indicate psychosis.
D. Dysthymic disorder (now referred to as Persistent Depressive Disorder in the DSM-5) is characterized by a chronic, mild depression lasting for at least two years. It typically involves a more consistent, persistent low mood rather than the abrupt shifts seen in bipolar disorder.

Correct Answer is ["weeks"]

Explanation

Fluoxetine (Prozac) is a type of antidepressant known as a Selective Serotonin Reuptake Inhibitor (SSRI). It takes time for the medication to build up in the body and start working effectively.

Typically, it takes 2 to 4 weeks before patients begin to notice improvements in their mood and symptoms.

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Patients with severe depression should be encouraged to play competitive games with other patients as a form of recreation.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCI (Prozac) that the drug takes 2 to 4 ..................... to take effect.

Correct Answer is ["weeks"]

Explanation

A client who is threatening to commit suicide should receive mental health care in which setting?

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