Psychiatric Nursing

Bipolar Disorder (Manic Episode)

Bipolar Disorder (Manic Episode)

Bipolar disorder involves cycling between periods of intense mania and severe depression.

Acute Manic Assessment

  • Inflated self-esteem or grandiosity.
  • Decreased need for sleep (e.g., feels rested after 3 hours).
  • Pressured speech, flight of ideas, and distractibility.
  • Excessive involvement in pleasurable activities with high potential for painful consequences.

Nursing Priorities

  • Maintain safety due to impulsivity and poor judgment.
  • Provide high-calorie, finger foods that can be eaten on the go.
  • Set firm, consistent limits on manipulative behavior.
  • Minimize environmental stimuli to reduce agitation.

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