Which sleep disturbance would be most likely for a patient with bipolar I disorder?

a. Early morning awakening
b. Fragmentation of sleep
c. Decreased REM sleep
d. Hypersomnia


D
Hypersomnia is often part of the depressed phase of bipolar I disorder and is also frequently seen in mild depressive disorder. Careful scheduling of therapy times and activities can take advantage of periods when the patient is most able to benefit from therapy. Early morning awakening is seen in major depression. Fragmentation of sleep and decreased REM sleep are associated with a number of other medical and psychiatric conditions.

Nursing

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How is orlistat different from most drugs for weight loss?

a. It reduces fat absorption in the intestines. b. It suppresses the appetite center in the brain. c. It increases metabolism to help burn calories. d. It increases serotonin levels and improves mood.

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The nurse is performing a psychosocial assessment on an adolescent client. Which special considerations should the nurse take while performing the assessment? Select all that apply.

A) Not all adolescents are aware of their emotional state. B) It is important to differentiate between normal fears and those that interfere with normal function. C) Adolescents may over-report anxiety due to normal developmental fears. D) Feelings of embarrassment may interfere with the assessment of adolescents. E) Physiological changes like puberty may result in inaccurate findings in adolescents.

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For which of the following situations is breastfeeding considered tolerable (reluctantly) under strict conditions?

1. The new mother is HIV positive. 2. The new mother uses hard drugs like heroin or cocaine. 3. The new mother smokes marijuana. 4. The new mother smokes cigarettes.

Nursing

The patient has been home from the hospital for 10 days. On the last day of his hospitalization, he received 2 units of packed RBCs. This morning, he noticed that his skin had a yellow tint to it and his temperature was elevated

Which reaction might this patient be experiencing? a. Delayed hemolytic transfusion reaction b. Acute hemolytic transfusion reaction c. Nonhemolytic febrile reaction d. Severe allergic transfusion reaction

Nursing