Author Question: It is a psychiatric emergency if a patient confides in you that: A. There are no reasons for him ... (Read 53 times)

audie · **on:** Jun 25, 2018

It is a psychiatric emergency if a patient confides in you that:

A. There are no reasons for him to keep from dying
B. He is having episodes of elation and increased energy
C. He is experiencing free floating anxiety and fear
D. Death and dying is constantly on his mind

Question 2

In order to diagnose an individual with bipolar I syndrome, the clinician should look for episodes of:

A. Irritability and rage
B. Grandiosity and high self-esteem
C. Rapidly alternating moods
D. None of the above

Perkypinki · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Completed suicides occur in 10 to 15 of individuals with bipolar I disorder. Suicide ideation and attempts are more likely in the depressive or mixed state (APA, 2013). Therefore, suicide risk should always be assessed in a psychiatric evaluation. Box 17.12 lists several questions for assessing suicide risk. If the responses identify a detailed plan for ending life, a lack of hope that things can be better in the future, or an inability to identify reasons for not dying (such as not wanting to leave loved ones), it is considered a psychiatric emergency, requiring immediate intervention.

Answer to Question 2

ANS: C
Bipolar I disorder is characterized by the occurrence of one or more manic episodes or mixed episodes. Mixed episodes are characterized by a period of time (lasting at least 1 week) in which the criteria are met both for manic episode and for a major depressive episode nearly every day. Social and/or occupational functioning are severely impaired as the individual experiences rapidly alternating moods (APA, 2013).