T1 - Bipolar/Suicide Lecture (Josh) Flashcards
— is defined as a pervasive and sustained emotion that may have a major influence on a person’s perception of the world.
Mood
—- is the emotional reaction associated w/ an experience.
Affect
Can Bipolar Symptoms reflect a seasonal pattern?
yes
Bipolar 1 Disorder
is experiencing or has experienced a full syndrome of manic or mixed symptoms
Bipolar 2 Disorder
bouts of major depression w/ episodic occurrence of hypomania
- never had a full manic episode
—- includes a full manic episode
—- does not include a full manic episode.
Bipolar 1
Bipolar 2
A suicidal client, with a history of manic behavior, is admitted to the ED. The client’s diagnosis is documented as bipolar I disorder: current episode depressed. What is the rationale for this diagnosis instead of a diagnosis of major depressive disorder?
A. The physician does not believe the client is suffering from major depression.
B. The client has experienced a manic episode in the past.
C. The client does not exhibit psychotic symptoms.
D. There is no history of major depression in the client’s family
B. The client has experienced a manic episode in the past.
According to DSM-5, what rules out a Dx of major depressive disorder?
a manic episode
Stages of Mania:
Stage 1: Hypomania
Stage 2: Acute Mania
Stage 3: Delirious Mania
What percentage of peds/adolescents have BPD?
1%
What is recommended to diagnose BPD in children/adolescents?
FIND
- Frequency
- Intensity
- Number
- Duration
S/S of BPD in Kids/Adolescents:
- Euphoria
- Irritable
- Grandiose
- Decreased need for sleep
- Pressured Speech
- Racing Thoughts
- Distracted
- Obsessive w/ activities
- Pleasure Seeking
- Psychosis
- Suicidality
In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis?
A. Risk for injury related to excessive hyperactivity
B. Disturbed sleep pattern related to manic hyperactivity
C. Imbalanced nutrition, less than body requirements related to inadequate intake
D. Situational low self-esteem related to embarrassment secondary to high-risk behaviors
A. Risk for injury related to excessive hyperactivity
Is there a cure for BPD?
No, only treatment of symptoms
- learning to cope is very important
Suicide rates for singles compared to married persons?
Twice