A client with a diagnosis of bipolar disorder asks the nurse what ...

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A client with a diagnosis of bipolar disorder asks the nurse what caused the illness. What should the nurse tell the client regarding the genetic transmission of bipolar disorder?
 
  1. Bipolar disorder is caused by environmental factors.
  2. There is no known cause for the development of bipolar disorder.
  3. There appears to be a genetic link in the transmission of bipolar disease.
  4. There is one single gene responsible for bipolar disorder.

Question 2

The new nurse is working with a preceptor on a medical-surgical unit. The nurse has just assessed a client and states to the preceptor, This client has many odd notions regarding several common health practices. He seems like a deviant to me.
 
   In planning a response, the preceptor is guided by: 1. A definition of deviance that covers all clinical situations.
  2. The knowledge that beliefs and behaviors are only deviant if the client thinks there is a problem.
  3. The knowledge that beliefs and behaviors are judged by cultural and social considerations.
  4. The need for further assessment to determine the duration of the beliefs and actions.

[hugthug12]

Answer to Question 1

3
Rationale: There appears to be about a 60 heritability factor in the transmission of bipolar disease. There is no single gene responsible for any mental disorder. The exact cause of bipolar disorder is not known, but there does appear to be heritability factors. The environment acts in concert with genotype for the expression of mental disorders.

Answer to Question 2

3
Rationale: The appropriateness of beliefs and behaviors are judged according to cultural, social, ethical, and legal rules that define the limits of appropriate behavior and reality. Given the cultural, social, ethical, and legal considerations, there is no definition of deviance that covers all clinical situations. The duration of the beliefs and actions in this situation may be irrelevant. Given the lack of a definitive definition of deviant behavior, the statement that beliefs and behaviors are only deviant if the client thinks they are a problem is an incorrect statement.