Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

Children are naturally active, energetic, and spontaneous.

The diagnosis of Bipolar Disorder cannot be assigned prior to the age of 18.

Symptoms of bipolar disorder are similar to those of attention deficit-hyperactivity disorder (ADHD).

Neurotransmitter levels vary considerably in accordance with age.

Genetic predisposition is not a reliable diagnostic determinant.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: Children's natural activity levels and spontaneity can mimic the hyperactivity of bipolar mania, making it challenging to differentiate between typical behavior and symptoms of a mood disorder.

Choice B reason: This statement is incorrect; bipolar disorder can be diagnosed before the age of 18. Early-onset bipolar disorder is recognized and can be diagnosed in children and adolescents.

Choice C reason: ADHD and bipolar disorder share common symptoms such as impulsivity and inattention, which can complicate the differential diagnosis, especially in younger populations.

Choice D reason: Neurotransmitter levels do indeed vary with age, which can affect mood and behavior, thereby complicating the diagnosis of bipolar disorder in young individuals.

Choice E reason: While genetic predisposition plays a role in bipolar disorder, it alone is not a definitive diagnostic determinant due to the complex interplay of genetic and environmental factors.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: Volunteering at a community center is generally a positive activity and does not indicate a risk for suicide.

Choice B reason: A sudden decline in school performance can be a sign of underlying distress and may indicate a risk for suicide.

Choice C reason: While low parental expectations can contribute to a child's stress, they are not a direct indicator of suicide risk.

Choice D reason: A recent or impending move can be a significant life stressor and may increase the risk of suicide, especially if it leads to social isolation.

Choice E reason: The death of a parent, particularly at a young age, is a traumatic event that can significantly increase the risk of suicide.

A. The client has supportive and encouraging relationships. B. There are multiple siblings in the household. C. The family appears to lack interest in the client. D. The client has overprotective parents.

Correct Answer is C

Explanation

Choice A reason: Supportive and encouraging relationships are typically protective against the development of eating disorders, not a contributing factor?.

Choice B reason: Having multiple siblings in the household does not directly indicate a cause for an eating disorder.

Choice C reason: A family's lack of interest can contribute to feelings of neglect or low self-worth, which are known risk factors for the development of eating disorders?.

Choice D reason: While overprotective parents can contribute to stress, they are not necessarily an indicator of why a client may be experiencing an eating disorder. The relationship between parenting style and eating disorders is complex and not solely causative?.

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Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

During an assessment of family dynamics for a client with an eating disorder, which observed issue could indicate a reason for the client's eating disorder?

Correct Answer is C

Explanation

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa with a body mass index (BMI) of 17.2. Which of the following actions should the nurse take? Select all that apply.

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

A nurse is caring for a client who has an extremely elevated lithium level. Which of the following actions should the nurse take?

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?