The nurse assesses a 12-year-old boy who has been diagnosed with ...

[TFauchery]

The nurse assesses a 12-year-old boy who has been diagnosed with bipolar disorder. Which behaviors should the nurse most expect to observe in this child? (Select all that apply.)
 
  A) Irritability
  B) Distractibility
  C) Screaming
  D) Rage episodes
  E) Sleep disturbances

Question 2

The nurse assesses a 7-year-old girl who has had problems at school lately with her behavior and mood.
 
  On the basis of the description provided by the child's mother, the nurse suspects either attention-deficit/hyperactivity disorder (ADHD) or bipolar disorder may be involved. Which behaviorswhen occurring in all spheres of the child's lifewould most strongly suggest ADHD rather than bipolar disorder in this client?
  A) Hyperactivity and impulsivity
  B) Mood and anxiety symptoms
  C) Irritability and impulsivity
  D) Anxiety and hyperactivity

[janeli]

Answer to Question 1

Ans: A, C, D, E
Feedback:
In contrast to attention-deficit/hyperactivity disorder (ADHD), which is characterized by impulsivity and distractibility, almost 75 of the children diagnosed with bipolar disorder have a predominance of mood symptoms such as irritability, sleep disturbances, and anxiety. For a child with bipolar disorder, the slightest frustration can set off a flood of crying, screaming, or anxiety symptoms. Unlike toddlers who have temper tantrums that are time limited, children with bipolar disorder can have rage episodes that can last from 2 to 3 hours.

Answer to Question 2

Ans: A
Feedback:
In children with ADHD, hyperactivity and impulsivity are evident in all spheres of the child's life. Unlike bipolar disorder, mood and anxiety symptoms are not predominant in ADHD; generally, teachers and parents do not characterize the child with ADHD as angry, irritable, and moody.