Which of the following is a characteristic of the manic stage of bipolar disorder?

Slow and sluggish movements

Feelings of extreme sadness and hopelessness

Increased energy and activity levels

Loss of appetite and weight loss

Answer and Explanation

The Correct Answer is C

A.   During depressive episodes, individuals often experience psychomotor retardation, which can manifest as slow and sluggish movements. In contrast, the manic stage is marked by heightened energy and activity levels.
B.   Feelings of extreme sadness and hopelessness are characteristic of the depressive stage of bipolar disorder. During manic episodes, individuals typically experience elevated mood, which might be euphoric, irritable, or excessively optimistic, rather than feelings of sadness or hopelessness.
C.   This is a hallmark of the manic stage of bipolar disorder. During a manic episode, individuals often have significantly increased energy levels, engage in numerous activities, and may exhibit restlessness.
This heightened activity can include impulsive or risky behaviors, excessive talking, and a reduced need for sleep.
D.   Loss of appetite and weight loss are more commonly seen during depressive episodes of bipolar disorder. During manic episodes, individuals might experience an increased appetite or engage in disinhibited eating behaviors, which contrasts with the decreased appetite often observed in depressive stages.

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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.

A. continue to maintain close observation. B. begin treatment with antidepressants. C. begin to assess client risk factors. D. decrease observation activity to allow client autonomy.

Correct Answer is A

Explanation

A. A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B. Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C. This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D. Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.

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Which of the following is a characteristic of the manic stage of bipolar disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

After establishing a no-harm contract with the client, the nurse should:

Correct Answer is A

Explanation

A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?

What is the primary reason for monitoring lithium levels every two to three days until a therapeutic level is obtained?

A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?

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