Your patient, who is manic, says, "Everything I do is great." How should you respond?

Choice A reason: The ability to dress oneself is a basic ADL and is important for independence after discharge.

Choice B reason: Scheduling car maintenance is not considered a basic ADL; it is an instrumental activity of daily living (IADL), which is not typically assessed for depression-related ADLs.

Choice C reason: The ability to bathe oneself is another basic ADL that is crucial for self-care and should be assessed before discharge.

Choice D reason: Performing oral hygiene is a fundamental ADL and should be included in the assessment.

Choice E reason: Balancing a bank account is an IADL and, similar to choice B, is not typically part of the basic ADL assessment for a client with depression.

Choice A reason: Cor pulmonale specifically refers to right-sided heart failure. It occurs due to an underlying lung disorder causing pulmonary hypertension (high pressures in the lungs). The right ventricle enlarges and pumps blood less effectively.

Choice B reason:Cor pulmonale does not involve the left side of the heart. It is primarily related to the right ventricle.

Choice C reason: While further testing may be necessary, it does not directly explain cor pulmonale.

Choice D reason:Cor pulmonale results from lung conditions causing pulmonary hypertension.The right ventricle becomes enlarged and less effective due to increased pressure in the pulmonary arteries.