A patient with bipolar disorder commands other patients, Get me a ...

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A patient with bipolar disorder commands other patients, Get me a book. Take this stuff out of here, and other similar demands. The nurse wants to interrupt this behavior without entering into a power struggle.
 
  Select the best initial approach by the nurse.
 
  a. Distraction: Let's go to the dining room for a snack.
  b. Humor: How much are you paying servants these days?
  c. Limit setting: You must stop ordering other patients around.
  d. Honest feedback: Your controlling behavior is annoying others.

Question 2

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.

[CAPTAINAMERICA]

Answer to Question 1

ANS: A
The distractibility characteristic of manic episodes can assist the nurse to direct the patient toward more appropriate, constructive activities without entering into a power struggle. Humor usually backfires by either encouraging the patient or inciting anger. Limit setting and honest feedback may seem heavy-handed to a labile patient and may incite anger.

Answer to Question 2

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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Excellent

[Sarahjh]

TYSM