The spouse of a patient diagnosed with bipolar I disorder says, "We want to have children, but I worry they could inherit this problem. There is also bipolar disorder on my side of the family." What is the nurse's most appropriate action?
a. Direct the couple to seek genetic counseling.
b. Encourage the couple to consider adopting children.
c. Encourage the spouse to discuss options with a spiritual advisor.
d. Educate the spouse about environmental determinants of bipolar disorder.
A
The nurse's advice should be based on knowledge that there appears to be a genetic role in the cause of bipolar disorder. Genetic counseling will provide the couple with the best possible basis for decision making. The other options will not provide the information that the couple needs to make an informed decision.
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