A client is diagnosed with cyclothymic disorder. What client behaviors should the nurse expect to assess?
A. The client expresses "feeling blue most of the time."
B. The client has endured periods of elation and dysphoria lasting for more than 2 years.
C. The client fixates on hopelessness and thoughts of suicide continually.
D. The client has labile moods with periods of acute mania.
ANS: B
The essential feature of cyclothymic disorder is a chronic mood disturbance of at least 2 years' duration, involving numerous episodes of hypomania and depressed mood of insufficient severity or duration to meet the criteria for bipolar I or II disorder.
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a. "Let's begin with a comprehensive diet, exercise, and behavior management program." b. "Drugs are the cornerstone of an effective weight-loss program for people who are obese rather than just overweight." c. "Drugs are indicated only for patients who have no health risks from their obesity." d. "Drugs may produce an excessively rapid weight loss that could be hazardous to your heart."
As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, premature separation of the placenta, and stillbirth?
a. Heroin b. Alcohol c. PCP d. Cocaine
A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her child's attention deficit-hyperactivity disorder (ADHD). Which nursing reply best addresses the mother's concern?
A. "The physician will probably switch from Ritalin to a central nervous system stimulant." B. "The physician may prescribe an antihistamine with the Ritalin to improve effectiveness." C. "Your child has probably developed a tolerance to Ritalin and may need a higher dosage." D. "Your child has developed sensitivity to Ritalin and may be exhibiting an allergy."
A nurse is conducting a preliminary assessment on a middle-aged client with
hypertension. Which indicates the nurse's attempt to engage in therapeutic communications? A) Keeping the time frame for the interview to a pre-established length. B) Talks about experiences of other clients C) Asks only closed-ended questions to the client D) Encourages the client to express his or her thoughts