Correct Answer: C

Rationale: Disorganized speech is a hallmark symptom of acute mania in bipolar disorder. The individual may exhibit flight of ideas rapid speech or incoherent thoughts. Auditory hallucinations dark clothing and weight gain are not specific to mania.

Correct Answer: D

Rationale: Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care. Isolation strict limits or confrontation can increase anxiety and worsen compulsive behaviors.

Correct Answer: A

Rationale: Alprazolam is a benzodiazepine that can cause drowsiness dizziness and impair motor coordination.
Therefore the nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them. Other options are incorrect for alprazolam.

Correct Answer: C

Rationale: A history of depression and minimal social support are significant risk factors for postpartum depression. Previous mental health issues increase the likelihood of postpartum mood disorders and lack of support makes coping more difficult. A healthy pregnancy supportive partner or no family history of mental illness reduce the risk but do not eliminate it entirely.

Correct Answer: D

Rationale: Premenstrual dysphoric disorder (PMD
D) is a more severe form of premenstrual syndrome (PMS) characterized by mood disturbances irritability and functional impairment that significantly affect a person's ability to function in daily life. Other options misrepresent the differences.