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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. Types of Bipolar Disorder
PathophysiologyThe pathophysiology of bipolar disorder, or manic-depressive illness (MDI), has not been determined, and no objective biologic markers correspond definitively with the disease state.
Statistics and IncidencesGlobally, the life-long prevalence rate of bipolar disorder is 0.3 to 1.5%.
CausesPredisposing factors to bipolar disorder include:
Clinical ManifestationsThese are the symptoms of bipolar disorder:
Assessment and Diagnostic FindingsA 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.
Medical Management of Bipolar DisorderThe treatment of bipolar disorder is directly related to the phase of the episode (i.e. depression or mania) and the severity of that phase.
Pharmacological ManagementAppropriate medication for managing bipolar disorder depends on the stage the patient is experiencing.
Nursing Management for Bipolar DisorderNursing management of a patient with bipolar disorder include the following: Nursing AssessmentAssessment of a patient with bipolar disorder include:
Nursing Diagnosis for Bipolar DisorderNursing diagnoses commonly established for clients in the manic phase are as follows:
Nursing Care Planning and GoalsMain Article: 6 Bipolar Disorders Nursing Care Plans Nursing care planning goals for bipolar disorders are:
Nursing InterventionsNursing interventions for bipolar disorder client are:
EvaluationThe goals are met as evidenced by:
Documentation GuidelinesDocumentation in a patient with bipolar disorder include:
Practice Quiz: Bipolar DisorderQuiz time about bipolar disorder from our nursing test bank! Please visit our nursing test bank page for more NCLEX practice questions. 1. 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? A. Apathy, poor insight, and poverty of ideas. D. Social isolation, delusional thinking, and clang associations. 1. Answer: C. Elation, hyperactivity, and impaired judgment.
2. 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? A. Allow the peer group to intervene. B. Describe acceptable behavior and set realistic limits with the client. C. Recommend that the client is hospitalized for treatment. D. Tell the client that his behavior is inappropriate. 2. Answer: B. Describe acceptable behavior and set realistic limits with the client.
3. Nurse Nadine is assessing James who is diagnosed with bipolar disorder. The nurse would expect to find a history of: A. A depressive episode followed by prolonged sadness. B. A series of depressive episodes that recur periodically. C. Symptoms of mania that may or may not be followed by depression. D. Symptoms of mania that include delusional thoughts. 3. Answer: C. Symptoms of mania that may or may not be followed by depression.
4. 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? A. Ping pong. B. Writing. C. Chess. D. Basketball. 4. Answer: B. Writing.
5. The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s: A. Outlandish behaviors and inappropriate dress. B. Grandiose delusions of being a royal descendant of King Arthur. C. Nonstop physical activity and poor nutritional intake. D. Constant, incessant talking that includes sexual innuendoes and teasing the staff. 5. Answer: C. Nonstop physical activity and poor nutritional intake.
References and SourcesInteresting resources for further reading about bipolar disorder:
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