He will start consuming finger food as meals and snacks to meet the daily needs of nutrition. Answer: B. Symptoms of mania that include delusional thoughts. Describe acceptable behavior and set realistic limits with the client. Bipolar is the name of a condition that is related to the mood swings of the patient. Bipolar disorders are mood disorders characterized by mood swings from profound depression to extreme euphoria (mania), with intervening periods of normalcy. The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. The client determines that her substance abuse disorder was caused by the bipolar disorder When you understand this condition, you can help enhance your patient’s quality of life. Risk Factors Biochemical imbalances Family genetics – one parent, child has 25% risk; two parents, 50-75% risk. Learn about the nursing management, assessment, diagnosis, and care planning for bipolar disorder in this study guide. C. Elation, hyperactivity, and impaired judgment. Typically, patients experience alternating episodes in which mood is abnormally elevated or abnormally depressed-separated by periods in which mood is … Client’s agitation will be maintained at manageable level with the administration of tranquilizing medications during first week of treatment. Not only these, there are many other values that are known after a complete blood count. Generally, bipolar disorder is diagnosed using the following process: Step 1: A therapist examines symptoms. A. Ping pong. Client is able to recognize thoughts that are not based in reality and intervene to stop their progression. D. Constant, incessant talking that includes sexual innuendoes and teasing the staff. 2016; Mann et al. Marianne is a staff nurse during the day and a Nurseslabs writer at night. Therapeutic Communication Techniques Quiz. Bipolar disorder is no longer an illness limited to diagnosis and management by the psychiatric profession. Physical safety of the client and others is a priority. The life-long prevalence of bipolar disorder in the United States has been noted to range from 0.9 to 2.1%. The bipolar disorder that is a result of other medical condition is commonly characterized by an obvious and persistent mood disturbance that is known to be a direct result of some physiological impact of a general medical condition. The person talks so much that it is hard to interrupt him and disturb his thought process. 2. Either phase may be predominant at any given time or elements of both phases may be present simultaneously. Assessment and management of bipolar disorder: summary of updated NICE guidance Tim Kendall, 1 2 Richard Morriss, 3 Evan Mayo-Wilson, 4 Elena Marcus, 5 6 on behalf of the Guideline Development Group • When using any psychotropic drugs for bipolar disorder … Client will experience no physical injury. The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. Therefore, the role of clinical assessment remains key. Which nursing intervention is most appropriate? An assessment is a series of questions that the care team will ask you. B: In this situation, it would be appropriate for the nurse to suggest alternative behaviors in place of unacceptable ones to help the client gain self-control. 3. APPLICATION OF THE NURSING PROCESS: BIPOLAR DISORDER . The client may use many common items and environmental situations in a destructive manner. For nursing diagnosis of bipolar disorder Serum electrolyte concentrations measurements are necessary to know to investigate electrolyte problems, if any, especially with sodium, as it is somewhat related to depression. Bipolar disorder tends to affect more women than men. Initial categories were grouped into six overarching themes : 1) mental health, 2) behaviour and level of functioning, 3) physical wellbeing, 4) health behaviours, 5) active self-management and 6) interpersonal. A: The peer group is not responsible for monitoring the client’s behavior. Mood stabilizers play a pivotal role in the long-term treatment of patients with bipolar disorder. The following is an introduction to the nursing management, assessment, diagnosis and care plans for the patient of bipolar. The questions will be about your thoughts, feelings and the things you do, and about anything that is … With the increasing incidence and prevalence of mental disabilities like bipolar disorders in Australia (Geller. Tell the client that his behavior is inappropriate. Which best describes an example of this response? Answer: C. Nonstop physical activity and poor nutritional intake. Carson, V. B. A: The symptoms in option A would be more characteristic of an individual with long-term schizophrenia. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s: Outlandish behaviors and inappropriate dress. Individual findings, including factors affecting, interactions, nature of social exchanges, specifics of individual behavior. Either phase may be predominant at any given time or elements of both phases may be present simultaneously. A client with bipolar disorder is seeking treatment for co-occurring substance abuse disorder. Since 1997, allnurses is trusted by nurses around the globe. However, the past few years has seen a steady increase in the number of children who are being diagnosed, creating a need for researchers and experts to come up with assessment tools that were effective for children with bipolar disorder. This paper addresses the case study of Jim Shoo, a young Asian American who has the diagnosis of Bipolar II Disorder. Ask a friend or family member to help watch you for bipolar symptoms. Please visit using a browser with javascript enabled. Methods: Currently available assessment tools suitable for use with patients with bipolar disorder were identified through a MEDLINE search using the following key terms: bipolar, screening, diagnosis, monitoring. Figure. 1. Allow the peer group to intervene. Depression may or may not occur as a separate episode in bipolar disorder. 2. The recommendations apply to bipolar I, bipolar II, mixed affective and rapid cycling disorders. 1 Individuals with hypomanic symptoms do not seek care, since they see this behavior as normal, and usually present during their depressive symptoms. 3. learn what to look for and what questions to ask when screening for bipolar disorder. While it is known that mood stabilizers effectively treat symptoms of bipolar disorder, the potential for adverse drug events (ADEs) is of concern (Rothschild et al. Appropriate medication for managing bipolar disorder depends on the stage the patient is experiencing. Nurse Nadine is assessing James who is diagnosed with bipolar disorder. The total costs of Bipolar Disorder I from US data were estimated at $202.1 billion in 2015, corresponding to an average of $81,559 per individual, while the excess costs of Bipolar Disorder I were estimated at $119.8 billion, corresponding to an average of $48,333 per individual. These loci are grouped as major affective disorder (MAFD) loci and numbered in the order of their discovery. Bipolar disorder co-occurs in 67% of monozigotic twins and 19% of dizigotic Half of adults diagnosed with bipolar disorder report traumatic/abusive experiences in childhood (independent of trauma due to increased health destructive behaviors). If this activity does not load, try refreshing your browser. The over-dosage of many mild sedatives can also lead to bipolar disorder. Care Plan 27 Bipolar Disorder, Manic Episode Nursing Interventions * denotes collaborative interventions Rationale Provide a safe environment. Figure. allnurses is a Nursing Career, Support, and News Site. The sleep pattern completely changes, the patient loses sense of tiredness or fatigue and he becomes ignorant of both rest and sleep for days and in more severe cases weeks. Client has gained or maintained weight during hospitalization. 5. The patient of bipolar disorder may get engaged in a number of vigorous or dangerous activities that have severe consequences, they may harm themselves while doing activities that they are not capable of. A client with bipolar disorder is seeking treatment for co-occurring substance abuse disorder. Purpose: In many areas of clinical practice, mental health nurses have more contact with service users than any other professional group. Learn about the nursing management, assessment, diagnosis, and care planning for bipolar disorder in this study guide. He will not harm himself and won’t suffer from any physical injury. Answer: C. Symptoms of mania that may or may not be followed by depression. 1. gain an overview of bipolar disorder. During the initial assessment and treatment process, the nurse notes the development of countertransference. Fasting glucose. The nurse would expect to find a history of: A. What are the best nursing interventions you could offer the patient? Which of the following activities would be most appropriate for this client? Nursing management of a patient with bipolar disorder include the following: Assessment of a patient with bipolar disorder include: Nursing diagnoses commonly established for clients in the manic phase are as follows: Main Article: 6 Bipolar Disorders Nursing Care Plans. The ESR or Erythrocyte Sedimentation rate is needed to get to the main health issue as the elevated ESR is an indication of an infection and usually physicians recommend some more clinical tests to further investigate the reason behind elevated ESR values. 2. acquire a sense of what is like to have bipolar disorder. Nurses should therefore make an assessment of the impact of bipolar disorder on the child or adolescent's social functioning, education, and family life. Bipolar Disorder Due To Other Medical Conditions, Bipolar Disorder Due To Use Of Abuse Of A Substance, Nursing Diagnosis & Care Plan for Cellulitis, Deep Vein Thrombosis (DVT): Nursing Diagnosis & Care Plan, Diabetic Ketoacidosis Nursing Diagnosis And Care Plan, Deficient Fluid Volume (Dehydration): Nursing Diagnosis & Care Plan. She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June. The complete blood count includes fasting glucose values to rule of the possibility of diabetes. Which of the following behaviors would the nurse expect to assess? (Download Nursing mental health assessment.) Writing, walks with staff, and finger painting are activities that minimize stimuli and provide a constructive release for tension. This is mainly done by a clinician interviewing their patients on their symptoms and how often and severely they experience them. Which nursing intervention is most appropriate? Which of the following activities would be most appropriate for this client? As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. See Care Plan 26: Suicidal Behavior, Care Plan 46: Hostile Behavior, and Care Plan 47: Aggressive Behavior. 4. understand important special education issues, including the psycho-educational evaluation of a student with a known or suspected bipolar disorder. A. D. Tell the client that his behavior is inappropriate. The most common report is the Mood Disorder Questionnaire (MDQ). Tracking symptoms is an important part of bipolar disorder treatment. Home Healthcare Nurse, 30(5), 280-291. D. Basketball. If loading fails, click here to try again. Because bipolar disorder does not appear to respond to standard treatments for depression, misdiagnosed patients may suffer increased morbidity and mortality. Nursing diagnoses commonly established for clients in the manic phase are as follows: Risk for other-directed violence related to manic excitement, suspicion of others, paranoid ideation. A study of participants in a United States bipolar disorder support group revealed that more than one-third sought professional help within a year of the onset of symptoms, but 69% were misdiagnosed — most frequently with unipolar depression — and consulted a mean of … 2. You may also fill out a psychological self-assessment or questionnaire. Research has shown that if one twin has bipolar disorder, the other twin is more likely than another sibling to develop it (National Institute of Mental Health Genetics Workgroup, 1998). 2007; Ayani et al. 2. acquire a sense of what is like to have bipolar disorder. Identify risk factors associated with bipolar disorder. Answer: C. Elation, hyperactivity, and impaired judgment. Renee Bynum. Current screening tests for bipolar disorder don’t perform well. A series of depressive episodes that recur periodically. A positive screen must be followed by a clinical assessment to determine diagnosis. Risk for injury due to destructive behaviors that are related to extreme hyperactivity. For more practice questions, visit our NCLEX practice questions page. Objectives To screen for bipolar disorder in adult primary care patients and to ex- All options reflect a client’s possible symptomatology. A patient with bipolar disorder complains that he is not able to sleep because his thoughts are racing and he feels the need to keep moving his legs. The client determines that her substance abuse disorder was caused by the bipolar disorder In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. Master Bipolar Disorder Assessment with Picmonic for Nursing RN With Picmonic, facts become pictures. Nursing Diagnosis for Bipolar Disorder. D. Social isolation, delusional thinking, and clang associations. Bipolar 1 is equally common in both the sexes; however, bipolar 2 is more common in women as compared to men. If symptoms worsen over time, t… Osmosis presents the diagnosis and treatment of bipolar disorder, also known as manic depression. Nonstop physical activity and poor nutritional intake. About 3% to 21.6% of patients diagnosed with depression in primary care actually have bipolar disorder (BPD). The overall heritability of the bipolar spectrum has been put at 0.71. Learn new ways to relax, such as deep breathing, to manage your stress. Diagnostic Assessment of Bipolar II. Recommend that the client is hospitalized for treatment. Bipolar disorder was not seen as a condition that was common in children or adolescents until recently. - As well as personality traits, stresses in the person’s environment such as death, separation and divorce, play a part. B: The symptoms in option B would be more characteristic of someone with an anxiety disorder, although a manic individual may also not sleep because of excessive energy. Consequently, clinicians need updated information on best practices for addressing not only acute treatment of bipolar disorder but also maintenance treatment, including weighing the evidence about the utility of oral versus long-acting injectable agents, measurement-based care, and strategies for promoting adherence and functional improvement. Your care team will do an assessment to find out whether your symptoms are being caused by bipolar disorder. When the nurse starts working with the patient of bipolar disorder she has some goals in her mind that include: Right from 24 hours after commencement of treatment with tranquilizing drugs the patient will stop doing potentially dangerous activities. Bartels, S. J., Mueser, K. T., & Miles, K. M. (1997). What is bipolar disorder? High Risk for other-directed unintentional violence that is related to suspicion of others, manic excitement, or paranoid ideation. Refer for urgent mental health assessment if the person presents with mania, severe depression, or if they are a danger to themselves or other people. It is important to diagnose bipolar disorder as early as possible in order to treat or prevent substance abuse and other problems associated with mental health disorders. 1. History . Constant, incessant talking that includes sexual innuendoes and teasing the staff. Typically, patients experience alternating episodes in which mood is abnormally elevated or abnormally depressed-separated by periods in which mood is … According to the studies done about this particular disorder the life- long prevalence of bipolar disorder is rated 0.3 to 1.5%, but if we take the statistics of America the life-long prevalence of the same problem is 0.9 to 2.1%. Mood stabilizers play a pivotal role in the long-term treatment of patients with bipolar disorder. C. Nonstop physical activity and poor nutritional intake. Current screening tests for bipolar disorder don’t perform well. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! Within one week, client will be able to recognize and verbalize when thinking is non-reality based. Your doctor may refer you to a psychiatrist, who will talk to you about your thoughts, feelings and behavior patterns. 4 For many, the age range between 15 and 24 seems to be the time when significant, disruptive swings in mood and functioning manifest clearly. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s: A. Outlandish behaviors and inappropriate dress. Be sure to grab a pen and paper to write down your answers. Identify the signs and symptoms of bipolar disorder. B. Bipolar I disorder. The genetics component of bipolar disorder appears to be complex; the condition is likely to be caused by multiple different common disease alleles, each of which contributes a relatively low degree risk on its own. Bipolar disorders are mood disorders characterized by mood swings from profound depression to extreme euphoria (mania), with intervening periods of normalcy. Managing patients with bipolar disorder at home: A family affair and a psychiatric challenge in home healthcare. A, B, D: None of the other options indicate a correct understanding of bipolar disorder. Grandiose delusions of being a royal descendant of King Arthur. Maintain consistent patterns in sleep, meals, and activities,Take prescribed medication, even when feeling well,Identify signs of bipolar relapse and possible precipitating factors (disturbance in sleep patterns, intake of caffeine, alcohol, drug abuse, and discontinuing prescribed medications) Attainment or progress toward the desired outcome. Clients with mood disorders are at higher risk for substance abuse and suicidal tendencies. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Overall, data suggest that only a third of all patients with mental illness are treated in the mental health sector, while approximately half of all patients with mental illness are seen by primary care physicians. Diagnosis in children. While it is known that mood stabilizers effectively treat symptoms of bipolar disorder, the potential for adverse drug events (ADEs) is of concern (Rothschild et al. The reader should review the Application of the Nursing Process: Depression section to examine nursing care of the client experiencing a depressed phase of bipolar disorder. Bipolar disorder also poses a significant economic burden. the nursing profession will have to attain the knowledge and skills required to care for individuals who have bipolar disorder via a multidisciplinary approach across all nursing settings; acute care, aged care, specialist mental health and community settings. Abnormal sensory perception linked to sleep psychotic process and insomnia. Assessment and treatment of bipolar disorder. A 5-axis diagnosis will be developed and a treatment plan written out … SAMPLE NURSING CARE PLAN: Bipolar I Disorder, Manic Episode Nursing Diagnosis 1: Risk for injury related to mania and delusional thinking, as evidenced by believing one is receiving messages from God, intrusive behavior in public, and high energy level. Depression can be a result of activity intolerance in Anemia and to rule out this possibility the complete blood count is suggested. Practice Mode: This is an interactive version of the Text Mode. The behavior becomes illogical and the patient is ready to everything that is against the law or mannerism to get his sexual as well as behavioral desires. The pathophysiology of bipolar disorder, or manic-depressive illness (MDI), has not been determined, and no objective biologic markers correspond definitively with the disease state. Assessing for Bipolar. Offer patient a Unisom sleeping pill. A depressive episode followed by prolonged sadness. 2016; Mann et al. To determine if you have bipolar disorder, your evaluation may include: 1. Also consider that people with bipolar disorder may be vulnerable to exploitation or violence when in an abnormal mental state. 2 It can be difficult to diagnose on initial assessment when patients are depressed if they actually have BPD. Cultural and religious beliefs, and expectations. Physical safety of the client and others is a priority. A patient with bipolar disorder complains that he is not able to sleep because his thoughts are racing and he feels the need to keep moving his legs. Client will no longer exhibit potentially injurious movements after 24 hours with administration with administration of tranquilizing medications. Diagnosis Bipolar Disorder: "Bipolar disorder is a severe biologic illness characterized by recurrent fluctuations in mood. Describe acceptable behavior and set realistic limits with the client. Psychiatrists assessed 154 people being treated for depression by their GP and found 29 met the diagnostic criteria for bipolar disorder. D. Symptoms of mania that include delusional thoughts. In three articles, nursing assessment of bipolar disorder is mentioned. B. Anxiety, somatic complaints, and insomnia. ‒Bipolar I disorder, most recent episode depressed, severe, without psychotic features Bipolar Disorder and Suicide • 10-15% of patients with bipolar disorder die by suicide • 2 major risk factors ‒History of attempted suicide ‒Hopelessness • Up to 27% of patients with bipolar disorder have attempted suicide at least once Hawton 2009 C: Mania is a mood characterized by excitement, euphoria, hyperactivity, excessive energy, decreased need for sleep, and impaired ability to concentrate or complete a single train of thought. 2. Patients with bipolar disorder report that delayed diagnosis and incorrect diagnosis are common. What are the best nursing interventions you could offer the patient? B, DelBello. Description A mood disorder, formerly known as manic depression is characterized by recurrent episodes of depression and mania. Malnutrition that may be result of denial from eating or the patient’s inability to sit peacefully for durations that are long enough to eat food. Depression may be a common feature of other mental illnesses, but can occur independently as well. The Mood Disorder Questionnaire (MDQ) is an effective screening instrument for Bipolar Disorder. About 3% to 21.6% of patients diagnosed with depression in primary care actually have bipolar disorder (BPD). Which of the following behaviors would the nurse expect to assess? 2. The pathophysiology of the mental condition known as manic-depressive illness or bipolar disorder is yet to be determined as till date no biologic reasoning is able to correspond with the state of the disease. 1. The focus of this discussion is on the client experiencing a manic episode of bipolar disorder. depression or mania) and the severity of that phase. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, … Select three. Ralph is admitted at Nurseslabs Medical Center with the diagnosis of bipolar disorder, single manic episode. 2 It can be difficult to diagnose on initial assessment when patients are depressed if they actually have BPD. GENERAL PURPOSE To provide nurses with an overview of bipolar disorder.LEARNING OBJECTIVES After reading the preceding article and taking this test, you should be able to: 1. Which best describes an example of this response?. As a first step, the assessment involves asking questions about a range of aspects of a person's life including their: Home and environment; As many as one in five people being treated for depression in primary care could have undiagnosed bipolar disorder, according to researchers. No time limit for this exam. If you leave this page, your progress will be lost. C. Chess. In some cases, a fasting glucose level is indicates to rule out diabetes. This topic reviews the assessment and diagnosis of bipolar disorder in adults. Your doctor may do a physical exam and lab tests to identify any medical problems that could be causing your symptoms. Congratulations - you have completed Practice Quiz: Bipolar Disorder. Once a diagnosis of bipolar disorder is given, it’s important to track symptoms over time to assess whether treatment is effective. The treatment of bipolar disorder is directly related to the phase of the episode (i.e. He moves unstoppably with more energy than normal. C: The definition of bipolar disorder is a mood disturbance in which the symptoms of mania have occurred at least one time. 4. understand important special education issues, including the psycho-educational evaluation of a student with a known or suspected bipolar disorder. An extensive list of laboratory tests are needed for the nursing diagnosis of bipolar disorder. The bipolar 2 disorder is determined by recurrence of major episodes of depression with a number of episode of hypomania and in most cases the patients of bipolar order type 2 have never gone through a full manic syndrome or any other symptoms of bipolar disorder. 4 The onset of significant symptoms may occur at any age from early childhood to late in the 50s and even beyond. Predisposing factors to bipolar disorder include: These are the symptoms of bipolar disorder: A number of reasons exist for obtaining selected laboratory studies in patients with bipolar disorder; an extensive range of tests is indicated, because bipolar disorder encompasses both depression and mania and because a significant number of medical causes for each state exist. Client will be able to recognize and verbalize when he or she is interpreting the environment inaccurately. Nursing Diagnosis 2: Disturbed sleep pattern related to the symptoms of mania, as evidenced by Nursing Diagnosis 2: Disturbed sleep pattern related to the symptoms of mania, as evidenced by Accurate diagnosis of bipolar disorder is difficult in clinical practice because onset is most commonly a depressive episode and looks similar to unipolar depression. C. Recommend that the client is hospitalized for treatment. See Care Plan 26: Suicidal Behavior, Care Plan 46: Hostile Behavior, and Care Plan 47: Aggressive Behavior. During the initial assessment and treatment process, the nurse notes the development of countertransference. Although clients in the manic phase are briefly agitated, energized and elated, their underlying depression makes them likely to … Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. Other conditions are typically ruled out before considering bipolar disorder as there are no specific brain scans or blood tests that can definitively identify the illness. Pediatric bipolar disorder can cause severe disturbances in global functioning (Hamrin & Pachler, 2006). Focus of this response? clinical assessment to determine diagnosis their patients on their symptoms and how often severely! 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Terrible twos and her free time is spent on reading books severe enough to require immediate hospital care VERSION. Often misdiagnosed as depression needs to be associated with the client and others is a severe biologic illness characterized recurrent! Development of countertransference includes depressive periods as well in clinical practice, mental health professional is.. Has become one of the other options indicate a correct understanding of bipolar disorder in this study guide ask screening... 2.1 % assesses a client with bipolar disorder is mentioned mania and depression at the same )! Name of a condition that is related to the mood is one of Elation, hyperactivity and. Exhibiting signs of physical agitation individual with long-term schizophrenia nurses around the globe this covers. Write down your answers, manic excitement, or irritable these loci are grouped as major affective disorder formerly. Healthcare nurse, student, and care Plan 46: Hostile behavior, educator! 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Both phases may be nursing assessment for bipolar disorder simultaneously how much do Registered nurses Make education issues, including psycho-educational. From any physical injury nursing interventions you could offer the patient diagnosis of bipolar II follows a similar pattern the. Plan 46: Hostile behavior, and the condition is often misdiagnosed as depression staff nurse during the initial when! To interventions, teaching, and care planning for bipolar disorder of: a family and... Screen for bipolar disorder, single manic episode t suffer from any physical injury their! But can occur independently as well as periods of hypomania, which are less severe than full episodes! Button below development of countertransference click here to try again mom of a toddler through! Severe biologic illness characterized by nursing assessment for bipolar disorder fluctuations in mood a therapist examines symptoms depression. 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Characteristic of schizophrenia psychiatric nursing knowledge best describes an example of this response? at level. Daily needs of nutrition his thought process is directly related to extreme … symptoms...: in many areas of clinical practice, mental health nurses have more contact with service users than other..., such as deep breathing, to manage your stress since we in! Such as deep breathing, to manage easily ) in children, young people and.... Between-Meal snacks to meet recommended daily allowances of nutrients instrument for bipolar disorder tranquilizing... And to ex- Figure are needed for the first time during teenage years or early adulthood to relax such! Nursing care plans Clients with mood disorders characterized by recurrent fluctuations in.... Individual with long-term schizophrenia the law or... Energy and fidgeting is equally common in or... A nursing Career, Support, and the feeling is that one is invincible ; therefore, may! And even beyond 2 is more common in children, young people and adults examines symptoms and teasing staff... Person may be present simultaneously moreover, there are currently no valid for... Quite impaired young people and adults effective screening instrument for bipolar disorder interactive of... Common report is the mood disorder Questionnaire ( MDQ ) & Miles, M.... 0.3 to 1.5 % a comprehensive assessment by a clinician interviewing their patients on their symptoms and how and... By recurrent fluctuations in mood, specifics of individual behavior formerly known as manic depression is characterized recurrent! About the nursing management, assessment, diagnosis and care planning for bipolar disorder treatment! A similar pattern to the nursing management, assessment, diagnosis and care plans for the patient of bipolar....