Client has gained or maintained weight during hospitalization. Congratulations - you have completed Practice Quiz: Bipolar Disorder. 4. Globally, the life-long prevalence rate of bipolar disorder is 0.3 to 1.5%. In recent years, it's become a controversial diagnosis. The most common of these are Major Depressive Disorder and Bipolar Disorder. Hold valuables in a hospital safe until rational judgment returns. B. A primary nursing responsibility is to provide a safe environment for clients and others. A series of depressive episodes that recur periodically. Cultural and religious beliefs, and expectations. Nonstop physical activity and poor nutritional intake. Apathy, poor insight, and poverty of ideas. Marianne is a staff nurse during the day and a Nurseslabs writer at night. Bipolar disorder is one of the main causes of disability among young people, leading to cognitive and functional impairment and raised mortality, particularly death by suicide. If loading fails, click here to try again. List nursing interventions appropriate. These loci are grouped as major affective disorder (MAFD) loci and numbered in the order of their discovery. D: D is inappropriate because the client is told only what is unacceptable and is not given any alternatives. If a person is not treated, episodes of bipolar-related mania can last for between 3 and 6 months. Top Answer. Mood disorders are a category of mental illnesses that affect a person’s emotional state over a long period of time. Depression may or may not occur as a separate episode in bipolar disorder. Please wait while the activity loads. The literature for the period January 1980 to January 2006 is reviewed. C: The client’s behavior does not warrant hospitalization. Predisposing factors to bipolar disorder include: These are the symptoms of bipolar disorder: 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. Patient will be free of injury within 2 to 3 weeks. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. 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. Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs that are mania or hypomania and lows such as depression. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Nursing Test Bank and Nursing Practice Questions for Free, NCLEX Practice Questions Test Bank (2021 Update), Nursing Pharmacology Practice Questions & Test Bank for NCLEX (500+ Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Tell the client that his behavior is inappropriate. C. Chess. Providing for Safety . The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Extreme hyperactivity/physical agitation. Therapy interventions for bipolar disorder include: Cognitive behavioural therapy or counselling. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. The treatment of bipolar disorder is directly related to the phase of the episode (i.e. Mania is a period when the mood is predominately elevated, expansive, or irritable. Nurse Salary 2020: How Much Do Registered Nurses Make? See Care Plan 26: Suicidal Behavior, Care Plan 46: Hostile Behavior, and Care Plan 47: Aggressive Behavior. Intervention . Research has shown that ther… That article summarized 6 studies with 1034 patients identifying self-help treatments and psychological treatments used to teach patients to recognize early warning signs of mania. A: The symptoms in option A would be more characteristic of an individual with long-term schizophrenia. The life-long prevalence of bipolar disorder in the United States has been noted to range from 0.9 to 2.1%. Often caregivers who have poor stress control that care for people who struggle to follow their treatment programs tend to increase the chance that serious bipolar symptoms break free. Provide frequent rest periods. Patient will spend time with the nurse in a quiet environment three to four times a day between 7 am and 11 pm with the aid of nursing guidance. Background: Bipolar disorder is associated with significant psychosocial impairment and high use of mental health services. CBT for bipolar disorder is typically used as an adjunct to pharmacotherapy and involves identifying maladaptive cognitions and behaviors that may be barriers to patient recovery and ongoing mood stability. Bartels, S. J., Mueser, K. T., & Miles, K. M. (1997). Evidence-based information on nursing interventions bipolar disorder from hundreds of trustworthy sources for health and social care. Meds. nursing interventions and rationales ineffective coping. 2006) found that 21% of patients who had bipolar disorder When interventions were assessed for cost-effectiveness also met full criteria for anti-social personality disorder. Describe acceptable behavior and set realistic limits with the client. BPI occurs equally in both sexes; however, rapid-cycling bipolar disorder is more common in women than in men. They are said to be linked to biochemical imbalances in the brain and it is said that the disease is genetically transferred. M. Crowe, M. Inder, Staying well with bipolar disorder: A qualitative analysis of five‐year follow‐up interviews with young people, Journal of Psychiatric and Mental Health Nursing, 10.1111/jpm.12455, 25, 4, (236-244), (2018). Client will experience no physical injury. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s: A. Outlandish behaviors and inappropriate dress. Show more. A series of depressive episodes that recur periodically. Allow the peer group to intervene. 5. Depression may be a common feature of other mental illnesses, but can occur independently as well. Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. 3. Which of the following behaviors would the nurse expect to assess? Ralph is admitted at Nurseslabs Medical Center with the diagnosis of bipolar disorder, single manic episode. Fasting glucose. Nursing interventions for bipolar disorder client are: Providing for safety. If you leave this page, your progress will be lost. Option C, however, clearly presents a problem that compromises one’s physiological integrity and needs to be addressed immediately. Affective, cognitive, and psychomotor factors. nursing care plan for bipolar disorder nursing diagnoses. A, C, D: Competitive games can stimulate aggression and increase psychomotor activity. D. Constant, incessant talking that includes sexual innuendoes and teasing the staff. Observe for signs of lithium toxicity (e.g.. Once you are finished, click the button below. Although bipolar disorder more commonly develops in older teenagers and young adults, it can appear in children as young as 6. Risk Factors Biochemical imbalances Family genetics – one parent, child has 25% risk; two parents, 50-75% risk. Treatment options for bipolar disorder. The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. Impaired judgment (reality-testing, risk behavior). Nurse Nadine is assessing James who is diagnosed with bipolar disorder. Meeting physiologic needs. A. Apathy, poor insight, and poverty of ideas. Description A mood disorder, formerly known as manic depression is characterized by recurrent episodes of depression and mania. C. Nonstop physical activity and poor nutritional intake. A. Ping pong. 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