Which mood disorder does she most likely have?
A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent behavior. He states that for the last 2 weeks she has been completely out of control. He says that she hasn't showered in days, stays awake most of the night cleaning their apartment, and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him frequently and declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks very quickly, changing the subject often. After a longer than normal interview you find out she has had no recent illnesses or injuries. Her past medical history is unremarkable. Both her parents are healthy but the husband has heard rumors about an aunt with similar symptoms. She and her husband have no children. She smokes one pack of cigarettes a day (although she has been chain-smoking in the last 2 weeks), drinks four to six drinks a week, and smokes marijuana occasionally. On examination she is very loud and outspoken. Her physical examination is unremarkable.
A) Major depressive episode
B) Manic episode
C) Dysthymic disorder
B) Manic episode
Mania consists of a persistently elevated mood for at least 1 week with symptoms such as inflated self-esteem, decreased need for sleep, pressured speech, racing thoughts, and involvement in high-risk activities (such as drug use, spending sprees, and indiscriminate sexual activity). In this case, the patient has racing thoughts and pressured speech, has a decreased need for sleep, and is engaging in high-risk activities (spending sprees).
You might also like to view...
200 mg = __________ g
Fill in the blank(s) with correct word
A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes." What knowledge will guide the nurse's response?
a. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have hot flashes. b. The patient is too young to have hot flashes associated with menopause. c. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes. d. The uterus and fallopian tubes were removed, and she will not experience "hot flashes."
Which factor is most important when determining whether an organized sport is safe for a child to participate in?
1) Adult coaches with training in selected sport 2) Rules 3) Height and weight of child 4) Age of child
A nurse is taking care of a diabetic patient who is 2 days postoperative after a total knee replacement
The patient has been requesting morphine sulfate frequently for pain, which she rates as 7 or 8 on a scale of 0 to 10. Her vital signs are T–98.9° F, P–88/minute, R–12/minute, and BP–136/88. Which of the following classes of medications should the nurse be most concerned about giving concurrently with morphine sulfate? a. Antihypertensives b. Benzodiazepines c. Antihistamines d. Antidiabetics