Your 28-year-old patient was admitted to the psychiatric unit with a diagnosis of major depression with symptoms of withdrawal and extreme sadness
After 2 weeks on the unit, the patient suddenly becomes more talkative, sleeps only 2 hours a night, and acts seductively with the male patients. What is the most likely explanation for this change?
A.
The antidepressants are effective.
B.
The patient was diagnosed incorrectly.
C.
She is having a manic episode as part of her illness.
D.
She is recovering from her depression.
ANS: C
Sudden shifts to manic behavior after depression may indicate bipolar disorder I. Responses A and D are unlikely, given the rapid change in behavior. Depression diagnosis was accurate initially related to response B.
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A patient's medication regimen for treatment of anxiety has been changed from a benzodiazepine. The patient asks the nurse what likely prompted his care provider to change his medication. What is the nurse's best response?
A) "Your doctor may have been concerned about causing depression." B) "Your doctor may have been worried about the possibility of convulsions." C) "Long-term use of benzodiazepines can result in dependency." D) "Long-term use of benzodiazepines can cause insomnia."
Which is an example in which the conflict could be positive or negative depending upon the parties involved?
1. Group disagreements 2. Generational differences 3. Physician behaviors with nurses 4. Job levels
The nurse is to lead a sexuality group. The best setting would be
a. the unit day room. b. the hospital's theater-style auditorium. c. the unit conference room. d. a corner of the music therapy room.
Which of the following therapies could be initiated by the medical-surgical nurse without special training?
A. Acupuncture B. Biofeedback C. Hypnosis D. Progressive muscle relaxation