Question

Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health...

Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health unit. He has a diagnosis of Bipolar 1 disorder. He has no history of physical or medical illnesses. During the admission assessment, Richard indicates that when he was 21 y.o., he was treated for bipolar 1 as an outpatient in the hospital clinic. He indicates was prescribed Carbamazepine but stopped taking it about 1 year ago. He told the nurse he has recently moved to the city as a mechanic, lives with a close relative temporarily. He does not have any friends in the city. About 3 weeks ago he had a surge of energy, was working 14-hour days and was up at night for days. During the interaction Richard often talked about his past depression and suicidality. Over the past month he has lost 15 lbs., has difficulty eating and has no appetite. He does not have the”…energy to get out of bed..” and has missed 4 days of work in the past week. He acknowledges having thoughts of ending his life by “driving off the road”. However, he says he is uncertain and afraid that if he takes his own life he will go to hell. You are the nurse assigned to provide care to Richard.

What are signs and symptoms of mania?

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Answer #1

Answer

The signs and symptoms of mania include

1.Elevated expansive or irritable mood

Stages of elevated mood

Euphoria(stage1)-increased well of psychological well-being and happiness.

Elation(stage2)-moderate elevation of mood with increased pychomotor activities.

Exalation(stage3)-intense elevation of mood with delusion of grandeur.

Ecstasy (stage4)-sever elevation of ,intense sense of blissfulness.

2.psychomotor activities

Increased pychomotor activity ranging from over activities to manic excitement

3.Speech and Thoughts

Flights of ideas

Pressure of speech

Delusion of grandeur

Delusion of persecution

Distractibility

Other features

Increased sociability

Poor judgement

High risk activities

Decreased need for sleep

Decreased food intake

Decreased attention

Poor judgement

Absent insight.

These are the common signs and symptoms related to mania.

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