Question

A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the clients partner report to the provider

a.Obsessive attention to detailDuring the manic phase of bipolar disorder, a client's behavior becomes disorganized and chaotic, which renders the client unable to focus on detail.
b.Inability to sleepMY ANSWERDuring acute mania, the client is extremely active and does not sleep, which can lead to exhaustion. Therefore, the nurse should instruct the partner to report this finding.
c.Reports of fatigueAlthough the client who is experiencing acute mania might eventually become exhausted, there is a characteristic unawareness of fatigue during this phase.
d.Isolation from othersClients who are in the manic phase of bipolar disorder often talk and joke incessantly and are highly interactive.

Answer 1

d.Isolation from othersClients who are in the manic phase of bipolar disorder often talk and joke incessantly and are highly interactive.

The partner of a client with bipolar disorder should report to the healthcare provider if they notice an inability to sleep during a manic episode. Lack of sleep can worsen the manic state and affect overall health, and it is essential to manage such symptoms promptly. Bipolar disorder can also impact learning and memory, which is crucial to consider in academic settings.

Step-by-step explanation:

In case someone is experiencing acute mania as part of bipolar disorder, certain behaviors and symptoms should prompt their partner to report to the healthcare provider. The partner should especially pay attention to inability to sleep as this may indicate a manic episode. During acute mania, individuals may feel highly energized, often displaying decreased need for sleep, which can eventually lead to exhaustion. It is critical to address this symptom because lack of sleep can exacerbate the manic condition and contribute to a rapid decline in overall well-being.

Furthermore, the other behaviors associated with acute mania include distractibility, increased activity or restlessness, racing thoughts, and engaging in risky behaviors. However, the inability to sleep stands out as a flagrant sign that requires immediate attention.

It's also important to remember that bipolar disorder can significantly affect cognitive functions and academic performance. Effects such as disruptive memory loss and difficulty with concentration can linger even after the acute manic or depressive episodes subside, making it difficult for affected students to perform well in school settings.