Which client's statement is consistent with bipolar disorder?

a. "The last time I had blood drawn at the office, I fainted dead away."
b. "No matter how hard I try, I just can't get into an elevator of any kind."
c. "Everyone knows I can control the financial health of this town with a snap of my fingers."
d. "I worked for Frank Sinatra's band for several months when I lived in New Jersey years ago."


ANS: C

Nursing

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A patient is being instructed on how to perform Kegel exercises. What should be included in these instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. While voiding, stop the flow of urine and hold for a few minutes. 2. Tighten the identified muscles for 2 to 3 seconds. 3. Take a deep breath and hold while performing the exercise. 4. Tighten the stomach muscles while performing Kegel exercises. 5. Improvement may take several weeks.

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Mrs. K is a 69-year-old widow who lives alone. At her clinic visit she confessed to the nurse that she is embarrassed by her frequent diarrhea and bloating after meals. At times she also feels sweaty or dizzy

Because of this problem she no longer goes out with friends to eat, which in the past has been an enjoyable source of socialization. The nurse advises her to continue to go out with her friends but also to: 1. Eat smaller portions and avoid extra fluid with meals. 2. Avoid eating all day before she goes out and then eat a large meal. 3. Eat food cooked at home since many restaurants have additives that can cause diarrhea. 4. Eat foods with simple rather than complex carbohydrates.

Nursing

While gathering a baseline history about a patient, a nurse is told by a team social worker that the patient "acts weird and has bad hygiene.". The nurse's responsibility is to:

a. accept the data without question. b. form impressions based on data personally gathered. c. document the impression of the team social worker. d. discuss the social worker's impression with the patient.

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What are the primary anticoagulant mechanisms?

a. Antithrombin III b. Tissue factor pathway inhibitor c. Hematopoiesis d. Protein C e. Phagocytosis

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