Author Question: A client is complaining of episodes of intense fear without any identifiable basis. During the ... (Read 78 times)

kamilo84 · **on:** Jul 8, 2018

A client is complaining of episodes of intense fear without any identifiable basis. During the episodes the client says he experiences shortness of breath and palpitations.

A client is complaining of episodes of intense fear without any identifiable basis. During the episodes the client says he experiences shortness of breath and palpitations. The population health nurse should suspect that this client is experiencing which disorder?
1. Panic disorder.
2. Bipolar disorder.
3. Schizophrenia.
4. Borderline personality disorder.

Question 2

A client in the postpartum clinic is complaining of tearfulness, mood swings, feelings of guilt, and inability to cope. The population health nurse suspects that the client is suffering from which condition?

1. Substance abuse.
2. Postpartum psychosis.
3. Seasonal affective disorder.
4. Postpartum depression.

ky860224 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Answer: 1
Explanation: 1. Panic disorder is characterized by episodes of intense fear without any identifiable basis. Panic is manifested in cardiac, respiratory, and gastrointestinal symptoms. Bipolar disorder is characterized by unusual shifts in mood, energy, and functional ability. Schizophrenia is characterized by three types of symptoms: positive symptoms (unusual thought or perceptions that are not present in normal people); negative symptoms (absence of normal behaviors and emotional states); and cognitive symptoms that reflect deficits in attention, memory, and executive functions that permit planning and organizing thoughts and behaviors. Borderline personality disorder is characterized by rapidly changing moods and results in difficulty with interpersonal relationships and an inability to function effectively in society.

Answer to Question 2

Answer: 4
Explanation: 4. Symptoms of postpartum depression are similar to those of other major depressive episodes but may also include tearfulness, mood swings, feelings of guilt and inadequacy as a mother, and inability to cope with the demands of an infant. Substance abuse would not be suspected in this scenario. Postpartum psychosis is characterized by mood fluctuations, disorganized behavior, and possible delusions or hallucinations. Seasonal affective disorder is a form of depression that varies with the seasons, and results in depression in the fall and winter when exposure to natural light is diminished and positive mood in spring and summer when natural light is more abundant.