A 54-year-old client fears that her husband is cheating on her. ...

[lidoalex]

A 54-year-old client fears that her husband is cheating on her. She reports that they have infrequent sex (one time per month or less). She cannot understand why their once-active sex life has dwindled.
 
  She reports not enjoying sex as much as she used to. What essential piece of information should a nurse obtain during this client's initial assessment?
  A) Whether the client had a hysterectomy
  B) Whether the client has reached menopause
  C) Whether the client uses birth control
  D) Whether the client has a history of depression

Question 2

In comparison with lithium, carbamazepine, and divalproex, atypical antipsychotics:
 
  a. may have some safety advantages
  b. are not appropriate for use in the treatment of bipolar disorder
  c. seem to be less effective in the treatment of bipolar disorder
  d. do not appear to work when used by themselves (monotherapy)

[sylvia]

Answer to Question 1

B

Answer to Question 2

A
Newer neuroleptics, the second-generation antipsychotics such as olanzapine, clozapine, quetiapine, risperidone, and ziprasidone do appear to have usefulness in chronic management of bipolar disorder and may have some safety advantages over lithium, carbamazepine, and divalproex. These drugs may be used by themselves (monotherapy) or may be combined with other agents to increase effectiveness. These medications are associated with significant weight gain and may increase risk for cardiovascular disease unless careful attention is paid to both weight and the consequences of metabolic syndrome (blood pressure, cholesterol and other lipids, blood sugar).