Mind on statistics 4th edition
Bipolar disorders are mood disorders characterized by mood swings from profound depression to extreme euphoria mania , with intervening periods of normalcy.
Learn about the nursing management, assessment, diagnosis, and care planning for bipolar disorder in this study guide.
The pathophysiology of bipolar disorder, or manic-depressive illness MDI , has not been determined, and no objective biologic markers correspond definitively with the disease state. A number of reasons exist for obtaining selected laboratory studies in patients with bipolar disorder; an extensive range of tests is indicated, because bipolar disorder encompasses both depression and mania and because a significant number of medical causes for each state exist.
The treatment of bipolar disorder is directly related to the phase of the episode i. Appropriate medication for managing bipolar disorder depends on the stage the patient is experiencing. Nursing diagnoses commonly established for clients in the manic phase are as follows:. Nursing care planning goals for bipolar disorders are:. Quiz time about bipolar disorder from our nursing test bank! Exam Mode. Practice Quiz: Bipolar Disorder Please wait while the activity loads.
Be sure to grab a pen and paper to write down your answers. Ralph is admitted at Nurseslabs Medical Center with the diagnosis of bipolar disorder, single manic episode.
Which of the following behaviors would the nurse expect to assess? Apathy, poor insight, and poverty of ideas. Anxiety , somatic complaints, and insomnia. Elation, hyperactivity, and impaired judgment. Social isolation, delusional thinking, and clang associations. In a day treatment program, a manic client is creating considerable chaos, behaving in a dominating and manipulative way.
Which nursing intervention is most appropriate? Allow the peer group to intervene. Describe acceptable behavior and set realistic limits with the client. Recommend that the client is hospitalized for treatment. Tell the client that his behavior is inappropriate. Answer: B. Nurse Nadine is assessing James who is diagnosed with bipolar disorder. The nurse would expect to find a history of:.
A depressive episode followed by prolonged sadness. A series of depressive episodes that recur periodically. Symptoms of mania that may or may not be followed by depression. Symptoms of mania that include delusional thoughts. The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client? The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania.
Outlandish behaviors and inappropriate dress. Grandiose delusions of being a royal descendant of King Arthur. Nonstop physical activity and poor nutritional intake. Constant, incessant talking that includes sexual innuendoes and teasing the staff. Since we started in , Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers!
Sign in. Log into your account. Password recovery. Care Plans. Notes Psychiatric Nursing. Types of Bipolar Disorder Bipolar I disorder is the diagnosis given to an individual who is experiencing, or has experienced, a full syndrome of of manic or mixed symptoms; the client may also have experienced periods of depression.
Bipolar II disorder. Bipolar II disorder is characterized by recurrent bouts of major depression with the episodic occurrence of hypomania; this individual has never experienced a full syndrome of manic or mixed symptoms. Cyclothymic disorder.
Bipolar disorder due to general medical condition. This disorder is characterized by a prominent and persistent disturbance in mood bipolar symptomatology that is judged to be the direct result of the physiological effects of a general medical condition APA, Substance-induced bipolar disorder. The bipolar symptoms associated with this disorder are considered to be the direct result of the physiological effects of a substance e.
Pathophysiology The pathophysiology of bipolar disorder, or manic-depressive illness MDI , has not been determined, and no objective biologic markers correspond definitively with the disease state. The genetics component of bipolar disorder appears to be complex; the condition is likely to be caused by multiple different common disease alleles, each of which contributes a relatively low degree risk on its own. Many loci are now known to be associated with the development of bipolar disorder. These loci are grouped as major affective disorder MAFD loci and numbered in the order of their discovery.
Statistics and Incidences Globally, the life-long prevalence rate of bipolar disorder is 0. Practice Quiz: Bipolar Disorder. Please wait while the activity loads. If loading fails, click here to try again. Congratulations - you have completed Practice Quiz: Bipolar Disorder. Your answers are highlighted below. Question 1. Question 1 Explanation:. C: A client with bipolar disorder, manic episode, would demonstrate flight of ideas and hyperactivity as part of the increased psychomotor activity.
The mood is one of elation, and the feeling is that one is invincible; therefore, judgment may be quite impaired. A: The symptoms in option A would be more characteristic of an individual with long-term schizophrenia. B: The symptoms in option B would be more characteristic of someone with an anxiety disorder, although a manic individual may also not sleep because of excessive energy. D: The symptoms in option D are more characteristic of schizophrenia.
Question 2. Question 2 Explanation:. B: In this situation, it would be appropriate for the nurse to suggest alternative behaviors in place of unacceptable ones to help the client gain self-control.
D: D is inappropriate because the client is told only what is unacceptable and is not given any alternatives. Question 3. Question 3 Explanation:. C: The definition of bipolar disorder is a mood disturbance in which the symptoms of mania have occurred at least one time.
Depression may or may not occur as a separate episode in bipolar disorder. A, B, D: None of the other options indicate a correct understanding of bipolar disorder. Question 4. Question 4 Explanation:. B: Solitary activities that require a short attention span with mild physical exertion are the most appropriate activities for a client who is exhibiting aggressive behavior. Writing, walks with staff, and finger painting are activities that minimize stimuli and provide a constructive release for tension.
A, C, D: Competitive games can stimulate aggression and increase psychomotor activity. Question 5. Question 5 Explanation:. C: Mania is a mood characterized by excitement, euphoria, hyperactivity, excessive energy, decreased need for sleep, and impaired ability to concentrate or complete a single train of thought.
Mania is a period when the mood is predominately elevated, expansive, or irritable. Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results.