What is cyclothymic disorder?

A continuous state of hypomania for 2 years.

A one-time event of hypomania.

Chronic depression for 2 years.

A chronic mood disorder of at least 2 years.

Answer and Explanation

The Correct Answer is D

Choice A reason: Cyclothymic disorder involves periods of hypomanic symptoms, but not continuously for 2 years.

Choice B reason: Cyclothymic disorder is not a one-time event; it involves multiple episodes of hypomanic and depressive symptoms.

Choice C reason: While chronic depression can be a part of cyclothymic disorder, it alone does not define it.

Choice D reason: Cyclothymic disorder is characterized by at least 2 years of numerous periods of hypomanic symptoms and depressive symptoms.

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Correct Answer is B

Explanation

Choice A reason: Encouraging adequate nutrition is important as patients with depression may have decreased appetite.

Choice B reason: Assuring the patient that everything will be fine may minimize their feelings and is not a therapeutic communication technique.

Choice C reason: Maintaining a safe milieu is essential for all patients, especially those with depression who may be at risk for self-harm.

Choice D reason: Using active listening skills is a key component of therapeutic communication and is essential in caring for patients with depression.

A. The client is hostile and sarcastic towards the staff. B. The client gives personal items and money away to other clients. C. The client paces in the hallway during the day and most of the night. D. The client demonstrates flight of ideas.

Correct Answer is C

Explanation

Choice A reason: While hostility and sarcasm can be challenging, they are not immediate safety concerns compared to the physical activity that could lead to exhaustion or injury.

Choice B reason: Giving away personal items and money can be concerning for the client's financial well-being, but it does not pose an immediate risk to their physical health.

Choice C reason: Pacing in the hallway during the day and most of the night could indicate a high level of psychomotor agitation associated with mania, which can lead to physical exhaustion or injury and is therefore a priority.

Choice D reason: Flight of ideas is a symptom of mania that, while important to note, does not pose an immediate risk to the client's safety like excessive physical activity does.

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What is cyclothymic disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing interventions for a patient with major depression would include all the following except:

Correct Answer is B

Explanation

A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?

Correct Answer is C

Explanation

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect? (Select all that apply.)

Which of the following is not true about depression?

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

A nurse is assisting in the care of a client who has acute onset pulmonary edema and is experiencing dyspnea with low oxygen saturation rates. The nurse should recognize the client is at risk for which of the following acid-base imbalances?

A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?

A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?