Mania

Question 1

How do we classify Mania?

Answer 1

An elevated, expansive or irritable mood for at least one week with significant impairment in social or occupational functioning

Question 2

How do we classify Hypomania?

Answer 2

The same symptoms for Mania just only present for up to 4 days rather than a week or more

Question 3

What are the behavioural changes noted for Mania?

Answer 3

Increased activity, distractible, impulsive, sexually disinhibited, spending large amounts of money, and starting up ill-advised business ventures

Question 4

What are the cognitive changes noted for Mania?

Answer 4

Racing thoughts, being easily distracted, increased sense of self importance, and loss of insight.

Question 5

What are the communication changes noted for Mania?

Answer 5

Talkative, rapid speech, expansive conversation and difficult to disengage from, intolerant to criticism and very irritable/argumentative.

Question 6

What are the mood changes noted for Mania?

Answer 6

Elevated or high, irritable mood, rapidly changing intense emotions (lanile)

Question 7

What are the physical symptoms noted for Mania?

Answer 7

Reduced need for sleep, increased energy, and increased appetite

Question 8

What are some nursing considerations for risk management (Mania)?

Answer 8

Risk to self r/t impulsivity
Risk to others r/t agitation
Gender safety risk r/t disinhibition
Risk of AWOL r/t limited insight
Risk of dehydration r/t inadequate fluid intake
Risk of exhaustion r/t disrupted sleep pattern

Question 9

What are the highlighted physical health needs for a person wt mania?

Answer 9

Sleep, food + fluids, ADLs, and Elimination

Question 10

How might the nurse manage the behaviour of the person with Mania?

Answer 10

Stay calm, avoid arguments with the patient, provide a low stimulus environment, and provide PRN medication

Question 11

When making a nursing care plan for the person with Mania what comes first for interventions: Stabilising mood or Patient Education

Answer 11

Stabilising mood

Question 12

What is involved in patient and whanau education?

Answer 12

Information regarding symptom management and early warning signs, treatment options (Medication/Therapy), and support groups.

Question 13

Do we just education the patient or the family too?

Answer 13

The patient, the family and even the patients friends!!

Question 14

What are some support services available in Canterbury?

Answer 14

Supporting families in mental illness, Bipolar support Canterbury @ MHAPs, and Familial trust (for families affected by addiction)

Question 15

What type of levels have found to be high for those with mania?

Answer 15

Cortisol and thyroid

Question 16

What causes (Aetiology) bipolar 1 and 2 (Mania)?

Answer 16

A complex relationship between genes, psychological factors and a hormonal imbalance

Question 17

What are the risks for the person with mania relevant to?

Answer 17

The patients mood state for example their depression may impact malnutrition, suicide and finance.

Question 18

What is a mixed episode? (Manic)

Answer 18

Where features of mania and depression such as agitation, anxiety, fatigue, or irritability occur simultaneously or in short succession.

Question 19

Would we hospitalise a patient with hypomania?

Answer 19

Not usually

Question 20

What is bipolar type 1?

Answer 20

1 or more manic or mixed episodes over a long period (Mania)

Question 21

What is bipolar type 2?

Answer 21

Hypomania (short manic episode) + a Depressive episode

Question 22

What are some behaviours the DSM 5 include regarding Mania?

Answer 22

Inflated self-esteem, decreased need for sleep, talkative, pressured speech, flight of ideas, racing thoughts, distractibility, poor attention, goal directed, and excessive involvement in activities that have potential for painful consequences.