The individual who displays the history and symptoms most ...

[misspop]

The individual who displays the history and symptoms most consistent with a medical diagnosis of seasonal affective disorder (SAD) is:
 
  a. 26 years of age and complains of 3 consecutive years of depressed mood begin-ning in November and remitting in April
  b. 64 years of age and complains of anhedonia, early morning awakening, psycho-motor retardation, weight loss, and excessive feelings of guilt
  c. 46 years of age and complains of dysphoric mood for 3 years, poor concentration, loss of interest in social activities, indecision, low energy, and low self-esteem
  d. 38 years of age and complains of sadness, loss of ability to react to positive stimu-li, weight gain, hypersomnia, leaden paralysis of limbs, and sensitivity to inter-personal rejection

Question 2

What information would serve as the basis for the nurse's reply when asked whether the cycling of moods from depressed to manic is a constant pattern seen in bipolar disorders?
 
  a. Clinical observation tells us that mood disorders tend to remit and recur.
  b. Most cyclic behavior can be managed with the appropriate forms of therapy.
  c. Mood disorders generally see a decrease in cyclic affecting within 5 years of on-set.
  d. Persons with higher cognitive abilities will generally exhibit fewer cyclic episodes.

[jackie]

Answer to Question 1

ANS: A
Marked seasonal changes in mood typify seasonal affective disorder. Depression begins in October or November and lifts in March or April and must occur for at least 2 consecutive years. The other options are lacking in the identifying period of time when the symptoms are exhibited.

Answer to Question 2

ANS: A
Mood disorders tend to remit and recur throughout the patient's lifetime. There is no current research to support the other options.