Nokea
While reviewing the client's psychiatric history, the nurse would expect to note which major characteristic of bipolar disorder?
- A. Ritualistic behavior
- B. Symbolic aggressiveness
- C. Cyclic mood swings
- D. Periodic amnesia
Correct Answer: C
Rationale: Cyclic mood swings, alternating between mania and depression, are the hallmark of bipolar disorder, defining its clinical presentation.
You may also like to solve these questions
Staff members have expressed fear of the client who has a history of violent behavior. Which response made by the lead nurse would be most beneficial in addressing the staff’s expressed concerns?
- A. “Let’s not prejudge him. His medication should help him control his behavior.”
- B. “I will be very attentive to his behavior monitoring it for any signs of escalation.”
- C. “It may be hard but we need to appear calm and nonthreatening but alert to his behavior.”
- D. “As staff we are all trained to manage violent clients and we can handle any crisis behavior.”
Correct Answer: C
Rationale: Appearing calm and nonthreatening (C) addresses staff concerns and guides management. Prejudging (A) personal monitoring (B) or overconfidence (D) dismiss staff fears.
Which of the following historical data is the greatest risk factor for hypochondriasis?
- A. The client experienced parental neglect as a child.
- B. The client has a sibling with schizophrenia.
- C. The client experienced parental overprotection as a child.
- D. The client has a history of substance abuse.
Correct Answer: C
Rationale: Parental overprotection can foster excessive health concerns, contributing to hypochondriasis by reinforcing anxiety about physical symptoms.
If the client has all of the following strengths, which one is most important for coping with this diagnosis?
- A. Acceptance by religious leaders
- B. A close circle of support
- C. Acquisition of many social acquaintances
- D. Sexual tolerance within the community
Correct Answer: B
Rationale: A close support network provides emotional and practical assistance, critical for coping with the challenges of an HIV diagnosis.
The nurse is preparing to administer thiamine (vitamin B1) to the client receiving treatment for alcohol dependence. Which statement best describes the rationale for the use of thiamine?
- A. Thiamine improves the absorption of other essential vitamins and folic acid.
- B. Thiamine helps to reverse the malnutrition often associated with alcohol abuse.
- C. Thiamine reduces the risk of seizures occurring during withdrawal from alcohol.
- D. Thiamine prevents neuropathy and confusion associated with chronic alcohol use.
Correct Answer: D
Rationale: Thiamine prevents neuropathy and confusion from deficiency (D). It doesn’t aid absorption (A) malnutrition reversal (B) is secondary and seizures (C) need anticonvulsants.
When asked to identify the characteristics of post-traumatic stress disorder (PTSD), the nurse correctly responds that most people with this disorder report which findings? Select all that apply.
- A. Recurring nightmares
- B. Auditory hallucinations
- C. Rapidly changing emotions
- D. Flashbacks
- E. Ease in being startled
- F. Trouble concentrating
Correct Answer: A,D,E,F
Rationale: PTSD symptoms include nightmares, flashbacks, hyperarousal (easily startled), and concentration difficulties, reflecting trauma-related distress.