A 28-year-old elementary school teacher begins to exhibit uncharacteristic behav

Question

A 28-year-old elementary school teacher begins to exhibit uncharacteristic behaviors such as having multiple sexual partners, engaging in compulsive online shopping, barely sleeping, dressing in a more provocative fashion, and attending frequent “wild” parties. Friends and family report these recent behaviors as “totally unlike her,” describing her as a normally conservative, responsible person. Her cousin, who lives nearby, becomes concerned and accompanies the woman to a Crisis Unit where she is subsequently diagnosed with Bipolar Disorder and admitted to a Mental Health Unit.

Initial Discussion Post:

Address the following:

What is the priority RN action for this client?

Which medical concerns may be significant, considering this client’s recent behavior?

Discuss what the RN would teach the client about Bipolar Disorder.

Provide two nursing diagnosis statements (each statement must include an actual nursing diagnosis (no risk-for diagnoses), related factor and as evidenced by) that might apply to this client.

Explanation / Answer

1). The RN must initially identify the risk of injuries, suicidal tendency, the risk of dehydration, testing the motor activity and judgment activity.

2). The client's recent behaviors such as attending frequent “wild” parties and compulsive online shopping indicate that the client is in the manic phase. The medical concerns include taking risky decisions, which create financial and psychological threats, increased risk of cardiovascular problems, the risk of dehydration and physical injuries.

The following nursing interventions must be implemented when the client is in the manic phase:

3). The RN must answer all the patient's questions and advice to take the medications as prescribed. It is important to make the patient understand about their abnormal behavior before explaining the disease characteristics. Emphasizing the benefits of understanding and following the recommendations is important to improve the patient cooperation. Providing the resources to better know about the disease, i.e. websites and other community resources will be helpful.

4). The possible nursing diagnosis of a client with bipolar-disorder include

a). Disturbed sleep pattern related to hyperactivity

b). Impaired social interaction

c). Impaired decision-making

d). Total self-care deficit

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