The patient tells the nurse, I thought I was just depressed, but ...

[javeds]

The patient tells the nurse, I thought I was just depressed, but my doctor says I have bipolar disorder. What is that? What is the best response by the nurse?
 
  1. Bipolar disorder is just another type of depression, except your depression occurs in cycles.
  2. Bipolar disorder is a type of depression that includes attention deficit disorder symptoms.
  3. Bipolar disorder just means that your mood alternates with the seasons, and it becomes worse in the winter.
  4. Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania.

Question 2

A mother phones the clinic and tells the nurse, My 5-year-old son had a febrile seizure this morning. She adds that this is the child's first seizure experience. The nurse responds by asking the mother to bring the child in to be seen today.
 
  What other information should the nurse offer?
  1. Febrile seizures are uncommon in boys.
  2. High temperatures generally induce seizures.
  3. Five-year-olds are too old for febrile seizures.
  4. Febrile seizures occur in up to 5 of children.
  5. Seizure medications are usually not necessary for febrile seizures.

[lorealeza]

Answer to Question 1

Correct Answer: 4
Rationale: Patients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention-deficit hyperactivity disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.

Answer to Question 2

Correct Answer: 4,5
Rationale 1: Febrile seizures occur in both genders.
Rationale 2: Many children experience high temperatures without experiencing seizures.
Rationale 3: Febrile seizures are most common in the 3-month to 5-year range.
Rationale 4: Up to 5 of children experience seizure activity related to temperature elevation.
Rationale 5: The best course of action for febrile seizures is prevention by using acetaminophen to prevent onset of fever.

[javeds]

Excellent

Gracias!