The nurse is instructing a patient on the cause of bipolar disorder. What neurotransmitters will the nurse describe as contributing to the manic phase of this disorder?
1. Excessive glutamate
2. Excessive norepinephrine
3. Deficiency of gamma-aminobutyric acid
4. Deficiency of dopamine
5. Excessive serotonin
Correct Answer: 1,2,3
Rationale 1: Mania may involve an excess of excitatory neurotransmitters such as glutamate.
Rationale 2: Mania may involve an excess of excitatory neurotransmitters such as norepinephrine.
Rationale 3: Mania may involve a deficiency of inhibitory neurotransmitters such as gamma-aminobutyric acid (GABA).
Rationale 4: Dopamine is not associated with the manic phase of bipolar disorder.
Rationale 5: Serotonin is not associated with the manic phase of bipolar disorder.
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The nurse is discussing common illnesses experienced in childhood with staff members of a daycare. Appropriate learning has taken place when which of the following statements is made?
1. "Even though the child may have a fever and a sore throat, antibiotics may not be necessary.". 2. "Since the provider may not know for sure if the pharyngitis is caused by streptococcus or not, antibiotics should be prescribed.". 3. "The child diagnosed with pharyngitis cannot return to school until the antibiotics are completed.". 4. "Since pharyngitis is not usually caused by bacteria, I do not have to be concerned with getting it.".
Which patient in the women's health clinic will the nurse expect to teach about an endometrial biopsy?
a. The 55-year-old patient who has 3 to 4 alcoholic drinks each day b. The 35-year-old patient who has used oral contraceptives for 15 years c. The 25-year-old patient who has a family history of hereditary nonpolyposis colorectal cancer d. The 45-year-old patient who has had 6 full-term pregnancies and 2 spontaneous abortions
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Select all that apply. 1. Unclear directions 2. Unable to comprehend the directions 3. Blood in the specimen giving a false reading 4. Completing the test too late 5. Tagged antibodies becoming outdated
The nurse is providing discharge instructions to an Asian-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse
Which of the following nursing actions is most appropriate? 1. Continue with the instructions verifying client understanding. 2. Walk around to the client so that you continuously face the client. 3. Identify the importance of the instructions for the maintenance of health care. 4. Give the client a dietary booklet, and return later to continue with the instruc-tions.