A client is diagnosed with bipolar I disorder. When assessing the client, the nurse would be alert for signs of other comorbidities, including which of the following? Select all that apply
A) Panic disorder
B) Social phobia
C) Antisocial personality disorder
D) Delirium
E) Somatoform disorder
Ans: A, B
Although any disorder may occur with bipolar disorder, the two most common comorbid conditions are anxiety disorders (panic disorder and social phobia are the most prevalent) and substance use (most commonly alcohol and marijuana). Individuals with a comorbid anxiety disorder are more likely to experience a more severe course. A history of substance use further complicates the course of illness and results in less chance for remission and poorer treatment compliance.
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A toddler is being discharged from the hospital after being monitored for 24 hours due to a possible ingestion of household cleaner. What priority instruction should be provided to the parents before discharge?
A) The parents should be informed that if the toddler is brought to the hospital again, child protective services will be called. B) Inform the parents that they were negligent in the care of their child and need to lock up the household cleaners. C) Educate the parents on methods to child-proof the home so that the child will not have access to various harmful materials. D) Tell the parents not to worry; many parents bring their children in for similar problems.
A client has the nursing diagnosis Fear related to the unknown regarding upcoming surgery. The nurse would know that goals for this diagnosis have been met when the client says "I feel a little better now because
a. a nurse will be with me during the entire experience." b. I can tolerate anything for 2-3 hours." c. I know I won't have any complications." d. this operation is really routine and done all the time."
The nurse has delegated the making of unoccupied beds to unlicensed assistive personnel. What should the nurse assess regarding client safety once the beds are completed?
1. Folding of the top sheet 2. Direction of the pillow 3. Call light being readily available 4. Presence of mitered corners
A school nurse has been made aware that an eighth grader has latent tuberculosis (TB). Education for the teaching staff should include:
1. A document with the signs and symptoms of illness for a person with TB. 2. Do not allow the child into the classroom when he coughs. Send him to the nurse's office to prevent the spread of the illness. 3. Provide universal precautions with the child. 4. The child does not need any interventions at this time because the TB is dormant.