Bipolar Disorder Chapter 19
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Bipolar disorders | show 🗑
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| show | Cyclothymia, Bipolor I & II, and Bipolar disorder not otherwise specified
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| show | Serious
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| Cyclothymia | show 🗑
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| show | No, they do not.
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| show | No, they don't experience delusions
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| Bipolar I | show 🗑
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| show | Person has recurrent bouts of major depression with episodic occurrences of hypomania
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| show | S&S begin suddenly, escalate rapidly, & last a few days to several months; Behavior, Mood, Thought processes
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| show | Hyperactivity,Bizarre and colorful dress, Highly distractible, Impaired Daily Functioning (excessive involvement in pleasurable activities, risky behaviors, Impulsive), Pressured Speech, Circumstantiality, Tangentiality
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| show | Hypomanic to manic, Sociality and euphora to hostility, Irritablitiy and Paranoia
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| show | Flight of ideas, Grandiosity, Impaired judgement(social blunders occur, ETOH/ Drug use common, Distactiblity, Decreased need for sleep
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| Stages of Mania | show 🗑
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| show | Cheerful & expansive mood with underlying irritablitiy; volatile. No impairment in functioning, no psychotc features
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| show | Euphoric, elated mood, flight of ideas, pressured speech loquaciousness), distractiblity, sexually uninhibibited, insomnia, inexhaustible energy, flamboyant dress/gromming, illusions and hallucinations
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| show | Very labile mood, confused, dlusional thinking, poss. hallucinations, agitated, purposeless activity and exhaustion
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| show | Use firm, calm approach, Use short and concise explanations, Remain neutral: avord power struggles, Be consistent in approach and expectations, Firmmly redirect energy into more appropriate areas
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| What are some treatment modalities? | show 🗑
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| What types of psychopharmacology are good treatments for a patient with bipolar disorders? | show 🗑
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| How is individual psychotherapy useful as a treatment for a patient with bipolar disorder? | show 🗑
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| Is cognitive therapy/ group useful? | show 🗑
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| What is Electroconvulsive therapy? | show 🗑
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| Is bipolar disorder often misdiagnosed or underdiagnosed? | show 🗑
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| show | Suicide, Alcohol or substance abuse, Martial problems, and Development of medical comorbidity
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| show | Hypomania
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| show | Hypomania
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| show | Hypomania
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| Talk is fresh; flits from one topic to the next. Marked by pressure of speech. (Communication) | show 🗑
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| May go suddenly from laughing to anger or depression. Mood is labile. (Communication) | show 🗑
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| Becomes inappropriately demanding of people's attention, and intrusive nature repels others. (Communication) | show 🗑
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| Speech may be marked by profanities and crude sexual remarks to everyone (nursing staff in particular). (Communication) | show 🗑
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| Speech marked by flight of ideas, in which thoughts reace and fly from topic to topic. May have clang associations. (Communication) | show 🗑
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| Totally out of touch with reality. (Communication) | show 🗑
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| Most likely has clang associations. (Communciation) | show 🗑
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| Full of pep and good humor, feeling of euphoria and sociability; may show inappropriate intimacy with strangers. (Affect & Thinking) | show 🗑
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| show | Hypomania
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| Judegement often poor. Gets involved with schemes in which job, marriage, or financial status may be destroyed. (Affect & Thinking) | show 🗑
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| May write large quantities of letters to rich and famous people regauding schemes or may make numerous world wide telephone calls. (Affect & Thinking) | show 🗑
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| Decreased attention span to baoth internal and external cues. (Affect & Thinking) | show 🗑
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| show | Acute Mania
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| Grandiose plans are totally out of contact with reality. Thinks he or she is a musician, prominent businessman, great politician, or religious figure, without any basis in fact. (Affect & Thinking) | show 🗑
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| show | Acute Mania
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| show | Acute Mania
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| May become destructive or aggressive-totally out of control. (Affect & Thinking) | show 🗑
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| May experience undefined hallucinations and delirium. (Affect & Thinking) | show 🗑
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| Overactive, distractible, buoyant, and busily occupied with grandiose plans (not delusions); goes from one actionto the next. (Physcial Behavior) | show 🗑
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| Increased sexual appetite; sexually irresponsbile and indiscreet. Illegitimate pregnancies in hypomanic women and venereal disease in both men and women are common. Sex used for escape, not for relating to another human being. (Physical Behavior) | show 🗑
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| May vhave voracious appetite, eat on the run, or gobble food during brief periods. (Physical Behavior) | show 🗑
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| show | Hypomania
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| Financially extravagant, goes on buying sprees, gives money and gifts away freely, cna easily go into debt. (Physical Behavior) | show 🗑
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| show | Acute Mania
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| show | Acute Mania
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| show | Acute Mania
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| Not ime for sleep - psychomotor activity too high; if unchecked, can lead to exhaustion and death. (Physical Behavior) | show 🗑
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| Same as in hypomania but in the same extreme; Financially extravagant. (Physical Behavior) | show 🗑
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| Dangerous state. Incoherent, extremely restless, dioreiented, and agitated. Hyperactive. Motor activity is totally aimless (must have physical or chemical restraints to prevent exhaustion & death. | show 🗑
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| show | Delirious Mania
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| Same as acute mania but in the extreme. Not time to eat - to distracted and disorganized. (Physical Behavior) | show 🗑
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| Too diorganized to do anything. (Physical Behavior) | show 🗑
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| What are a flight of ideas? | show 🗑
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| What are clang associations? | show 🗑
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| show | Assess whether the client is a danger to self and others, Asses for need for controls; Asses for need for hospitalization to safeguard and stablize the client; Assess medical status; Assess for any coexisting medical that warrants invention.
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| Should the nurse assess the client's and family's understanding of bipolar disorder, knowledge of medications, and knowledge of support groups and organizations that provide information on bipolar disorder? | show 🗑
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| What is the outcome citeria for a client with Phase I: Acute Phase | show 🗑
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| show | Hydration, Cardiac Pump Effectiveness, Tissue Integrity: Skin and Mucous Membrane, Sleep, Distorted Thought Self-Control, and Suicide Self-Restraint
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| What Phase is the continuation phase and how long does it last? | show 🗑
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| show | Relapse prevention
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