Question

During an interaction with the nurse, a client with bipolar disorder states that she doesn't have anything to contribute to the art therapy group. Upon exploration of the client's concerns, the nurse recognizes the client's pattern of withdrawal and nonparticipation in situations requiring communication with others. Which nursing diagnosis would be appropriate for this client?

1 . Anxiety
2. Impaired social interaction
3. Defensive coping
4. Chronic low self-esteem

Answer 1

The appropriate nursing diagnosis for a client with bipolar disorder showing a pattern of withdrawal and nonparticipation in social situations is Impaired social interaction.

Step-by-step explanation:

Based on the client's pattern of withdrawal and nonparticipation in communication-heavy settings, the appropriate nursing diagnosis is Impaired social interaction. This condition is characterized by difficulty engaging in social contexts and relates directly to the client's reported lack of contribution in the art therapy group setting. Bipolar disorder can indeed impact a student's or client's social skills and participation levels due to mood fluctuations, which can result in behaviors such as withdrawal.

Neuroleptic drugs can sometimes alleviate symptoms, making clients more communicative and responsive. It's also worth noting that impaired social skills and repetitive motor behaviors sometimes suggest conditions like autism spectrum disorder, but in the context of bipolar disorder, the impaired social interaction is more likely a consequence of the mood fluctuations and associated features of the condition, such as chronic low self-esteem or social withdrawal.