The spouse of a patient with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. Select the nurse's best response
a. "A high proportion of patients with bipolar disorders are found among creative writers."
b. "A higher rate of relatives with bipolar disorder is found among patients with bipolar disorder."
c. "Patients with bipolar disorder have higher rates of relatives who respond in an exaggerated way to daily stresses."
d. "More individuals with bipolar disorder come from high socioeconomic and educational backgrounds."
ANS: B
Evidence of genetic transmission is supported when twins or relatives of patients with a particular disorder also show an incidence of the disorder that is higher than the incidence in the general public. The incorrect options do not support the theory of genetic transmission of bipolar disorder.
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Which instruction by the nurse will be most helpful in managing the pruritus? a. Use cool, wet dressings and baths to promote vasoconstriction. b. Trim the fingernails short to prevent skin damage from scratching. c. Expose the areas to the sun to promote drying and healing of the lesions. d. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation.
Which of the following may induce acute bronchitis?
A) Aspiration B) Drug ingestion C) Chemical irritation D) Direct lung damage
In counseling a client concerning her choice of a method of contraception, the nurse should keep all of the following in mind. What should be given the greatest consideration?
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Which of the following statements about the origin of case management is true?
1. Case management began in the mid-1980s as a component of health care financing's prospective payment system. 2. Case management dates back to the early 20th century when the concepts were used by visiting nurses and insurance companies. 3. Case management started in the 1960s as a legislated mandate component of Medicare and Medicaid. 4. Case management is a new concept beginning in the late 1990s in an effort to lower spiraling health care costs.