The family member of a client diagnosed with bipolar disorder asks the nurse what that is. The best response by the nurse would be:

1. "Bipolar disorder means there are cycles of depression as well as hyperactivity, or mania.".
2. "Bipolar disorder is just another type of depression, except depression occurs in cycles.".
3. "Bipolar disorder is a type of depression that includes attention deficit disorder symptoms.".
4. "Bipolar disorder just means that the mood alternates with the seasons, and it becomes worse in the winter.".


1. "Bipolar disorder means there are cycles of depression as well as hyperactivity, or mania.".

Rationale:
Clients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention deficit hyperactivity disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.

Nursing

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Which statement is true regarding the realization of a universal electronic health record (EHR)?

1. Security and confidentiality issues have been resolved. 2. The EHR exists only in private, for-profit acute-care institutions. 3. Health care providers are unified in the standardization of the EHR. 4. The lack of common language prevents the EHR from becoming a reality.

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A woman of Mexican-American background who is in labor asks that her husband not be allowed in the delivery room and that he not see the baby until after the baby has had his or her initial bath. How can the nurse best respond to this request?

a. Insist that it is the hospital policy for the husband to be present during the delivery. b. Explain that the first hour after the birth of the baby is the most critical to promote bonding. c. Honor the request by recognizing that these are the cultural norms of the client. d. Ask the husband if he is willing to wait in the waiting room until the delivery is completed.

Nursing

The process of breaking food down physically and chemically for absorption and use by the body is:

a. Peristalsis b. Digestion c. Metabolism d. Mitosis

Nursing

Cachexia is most likely to be an assessment finding in a client who has been diagnosed with what?

A) Anorexia nervosa B) Bulimia nervosa C) Binge eating disorder (BED) D) Night eating syndrome (NES)

Nursing