A client is diagnosed with bipolar I disorder. When assessing the ...

[DelorasTo]

A client is diagnosed with bipolar I disorder. When assessing the client, the nurse would be alert for signs of other comorbidities, including which of the following? Select all that apply.
 
  A) Panic disorder
  B) Social phobia
  C) Antisocial personality disorder
  D) Delirium
  E) Somatoform disorder

Question 2

A client with mania is exhibiting signs of a manic episode manifested by an elevated mood. Which of the following would the nurse expect to assess?
 
  A) Feelings of being on top of the world
  B) Lack of restraint with feelings
  C) Overvalued sense of self-importance
  D) Indiscriminate enthusiasm for interactions

[mbcrismon]

Answer to Question 1

Ans: A, B
Although any disorder may occur with bipolar disorder, the two most common comorbid conditions are anxiety disorders (panic disorder and social phobia are the most prevalent) and substance use (most commonly alcohol and marijuana). Individuals with a comorbid anxiety disorder are more likely to experience a more severe course. A history of substance use further complicates the course of illness and results in less chance for remission and poorer treatment compliance.

Answer to Question 2

Ans: A
An elevated mood can be expressed as euphoria (exaggerated feelings of well-being) or elation (feeling high, ecstatic, on top of the world, or up in the clouds). An expansive mood is characterized by lack of restraint in expressing feelings, an overvalued sense of self importance, and a constant and indiscriminate enthusiasm for interpersonal, sexual, or occupational interactions.

[DelorasTo]

Gracias!

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