A client with a diagnosis of bipolar disorder asks the nurse what caused the illness. What should the nurse tell the client regarding the genetic transmission of bipolar disorder?
1. Bipolar disorder is caused by environmental factors.
2. There is no known cause for the development of bipolar disorder.
3. There appears to be a genetic link in the transmission of bipolar disease.
4. There is one single gene responsible for bipolar disorder.
3
Rationale: There appears to be about a 60% heritability factor in the transmission of bipolar disease. There is no single gene responsible for any mental disorder. The exact cause of bipolar disorder is not known, but there does appear to be heritability factors. The environment acts in concert with genotype for the expression of mental disorders.
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The nurse is beginning to plan care for a newly admitted client. The nurse will apply which of the following steps in the nursing process?
a. Assessment, planning, and evaluation b. Assessing, planning, implementing, and evaluating c. Assessment, analysis, planning, implementation, and evaluation d. Assessment, diagnosis, outcome identification and planning, implementation, and evaluation
Investigator triangulation refers to the use of two or more researchers to make data collection, coding, and analytic decisions
A) True B) False
The son of a client diagnosed with moderately advanced Alzheimer's disease shows concern over the care his mother will receive after making the decision to institutionalize her
Which of the following statements made by the admitting nurse is most therapeutic in addressing the son's concerns? 1. "We care deeply for all our clients and take great pride in the care and attention we give each one of them." 2. "Please feel free to talk to our staff and to the other clients about the care and at-tention we give to each of our clients." 3. "I hope that you will be able to visit your mother often and offer us suggestions on how best to meet her physical and emotional needs." 4. "I know it has been a difficult decision, and you must have concerns about leav-ing her, but rest assured we have her best interest at heart."
Which of the following data would be included in a health history? (Select all that apply.)
a. Review of systems b. Physical assessment c. Sexual history d. Growth measurements e. Nutritional assessment f. Family medical history