Bipolar Disorder

Question 1

With Bipolar Disorder one polis is __________ and the other is __________ ?

Answer 1

Mania & Depression

Question 2

Signs and Symptoms of Bipolar Disorder affect what ?

Answer 2

Affect: mood, cognitive and perceptive abilities, or activities and behaviors

Question 3

Signs & Symptoms:

Clients with Bipolar Disorder have what type of self-esteem ?

Answer 3

Inflated Self-esteem

Question 4

Emotions in client’s with Bipolar disorder change quickly can range from ?

Answer 4

• Euphoria to agitated and angry or sad and crying

Question 5

What type of thinking may clients with Bipolar disorder experience ?

Answer 5

May experience rapid thinking that leads to a flight of ideas

Question 6

What is the speech like in client’s with Bipolar disorder ?

Answer 6

Pressured speech –> defined as fast and loud with no pauses

Question 7

What is the decision making like in clients with Bipolar disorder ?

Answer 7

poor

love to spend money they don’t have because it makes them feel important

Question 8

What are the delusions like in clients with Bipolar disorder ?

Answer 8

Delusions are a false Idea

–> Delusions of Grandeur (Ex: client thinks they are Jesus)

Question 9

What are the signs & symptoms of Bipolar Disorder ?

Answer 9

- Continious High 
      (Inflated self-esteem. emotions change quickly from euphoria to agitated and angry or sad and crying)
- May experience Rapid thinking 
- Speech is pressured speech
- Poor decision making
- Delusions are a false idea (Delusions of Grandeur: client thinks their Jesus)
- Manipulation (seen in acute mania)
- Constant motor activity
- Decreased need for sleep
- Poor impulse control

Question 10

What will happen to the client with Bipolar disorder who has poor impulse control ?

Answer 10

They may become socially and sexually uninhibited

Question 11

What are the Tx’s for Bipolar disorder ?

Answer 11

• Decrease stimuli (TV, radio, etc. off)
• Don’t argue or talk about their delusions
• Set limits and be consistent
• Remove hazards
• One-on-one relationships
• Stay with client as anxiety and manic behavior increases
• Provide activity to replace non-purposeful activity
• Promote nutrition to increase caloric intake
  
  • Supply finger foods (client is too busy to stop and eat)
  • Walk with the client during meals
• Fluids (client can become dangerously dehydrated)
• Maintain dignity
• ECT treatment

Question 12

What kind of schedule do Bipolar clients need ?

Answer 12

Need a structured schedule

Question 13

Who is ECT treatment used for ?

Answer 13

is used for clients with severe depression and manic episodes

Question 14

ECT can induce what ?

Answer 14

A tonic clonic seizure

Question 15

What things need to be done pre-procedure for ECT ?

Answer 15

• A signed consent is necessary
• General anesthetic
• NPO
• Void
• Atropine is given (to dry up secretions so they don’t aspirate)
• Succinylcholine (give to relax muscles)

Question 16

How are ECT treatments usually given ?

Answer 16

Given in a series of treatments depending on the client’s response

Question 17

What things need to be done post-procedure of ECT ?

Answer 17

• Position client on their side (to prevent aspiration)
• Stay with the client
• Temporary memory loss is expected
• Reorient repeatedly

Question 18

How should client who underwent ECT return to day-to-day activities ?

Answer 18

As soon as possible