A nurse is conducting family education with the parents and ...

[kellyjaisingh]

A nurse is conducting family education with the parents and siblings of a young woman who has been diagnosed with bipolar disorder. What is a difference between depressive disorders and bipolar disorders that the nurse should cite?
 
  A) Bipolar disorders do not involve periods of sadness or unhappiness.
  B) Bipolar disorders involve mood swings ranging from depression to euphoria.
  C) Depressive disorders involve times of elation that are not found in bipolar disorder.
  D) Depressive disorders cannot be treated but bipolar disorders are treatable.

Question 2

A 44-year-old man has been admitted to the inpatient psychiatric unit for the treatment of major depression.
 
  When the nurse asks the man about plans for suicide, the man pauses and then states, I can't say that I can rule it out for sure. What actions should the nurse take to reduce the client's risk of attempting suicide? Select all that apply.
  A) Assign another patient to act as a mentor and confidante to the patient.
  B) Remove all potentially dangerous objects for the patient's environment.
  C) Begin frequent or continuous one-on-one assessment and observation.
  D) Place the patient in physical restraints until a more thorough assessment can be performed.
  E) Attempt to cultivate a therapeutic relationship with the patient.

[adf223]

Answer to Question 1

Ans: B
Feedback:
The hallmark feature of depressive disorders is a disturbance in mood, in which the affected person feels dysfunctionally sad, gloomy, unhappy, or down more often than not. Bipolar disorders also are marked by a disturbance in mood. The difference is that these clients experience mood swings ranging from profound depression to extreme euphoria (mania). Symptoms during depressive episodes are consistent with those of major depression.

Answer to Question 2

Ans: B, C, E
Feedback:
Appropriate responses to an individual's demonstrable risk for suicide include close observation and removal of dangerous objects in the context of a therapeutic relationship. Assigning responsibility for a patient's safety to another patient is always inappropriate. Physical restraints are not warranted.

[kellyjaisingh]

Excellent

[scikid]

TYSM