The advanced practice nurse is working with a young adult who is having her first manic episode and is newly diagnosed with bipolar I disorder
The advanced practice nurse meets with the client's family to discuss the diagnosis and to provide support. The nurse understands that the MOST important information that families need to know early is about: a. the disease and what to expect
b. the threat of genetically passing on the disease
c. what caused the manic episode
d. their own risk of getting the disease
A
The most important information for the advanced practice nurse to supply the family is information about the disease and what to expect. Because individuals with mania may rapidly cycle into depression, the risk of self-injury and suicide must be discussed with the family. In this situation the nurse's role is one of both support and listening as well as one of educating.
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The nurse in the genetics clinic is helping mothers understand the causes of their children's genetic disorders. The nurse will explain how monosomy from nondisjunction during meiosis caused the disorder in the child with:
1. Classic Turner's syndrome. 2. Mosaic Down syndrome. 3. Mosaic Edwards' syndrome. 4. Duchenne's muscular dystrophy.
Your patient's spouse died recently from a sudden illness after 45 years of marriage
The patient was the primary caregiver for the spouse during this time. The patient is now depressed and withdrawn and has verbalized feelings of uselessness. Which action by the nurse is best? a. Encourage the patient take up a hobby that will occupy some time. b. Explain that volunteering would be an excellent way to stay useful. c. Assure the patient that these feelings of sadness will pass with time. d. Ask the patient to share some cherished memories of the spouse.
Behavioral theorists believe that suicide is often:
A) An impulsive act. B) A learned problem-solving behavior. C) Related to some type of loss. D) Caused by a genetic defect.
The concept of "knowing" the patient comprises both the nurse's understanding of a specific patient and the nurse's subsequent selection of interventions. To know a patient means that the nurse (Select all that apply.)
a. Avoids assumptions. b. Focuses on the patient. c. Engages in a caring relationship. d. Forms the relationship quickly.