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A 28-year-old elementary school teacher begins to exhibit uncharacteristic behaviors such as having multiple sexual partners, engaging in compulsive online shopping, barely sleeping, dressing in a more provocative fashion, and attending frequent “wild” parties.

Scenario:

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A 28-year-old elementary school teacher begins to exhibit uncharacteristic behaviors such as having multiple sexual partners, engaging in compulsive online shopping, barely sleeping, dressing in a more provocative fashion, and attending frequent “wild” parties. Friends and family report these recent behaviors as “totally unlike her,” describing her as a normally conservative, responsible person. Her cousin, who lives nearby, becomes concerned and accompanies the woman to a Crisis Unit where she is subsequently diagnosed with Bipolar Disorder and admitted to a Mental Health Unit.

Initial Discussion Post:

Address the following:

  • What is the priority RN action for this client?
  • Which medical concerns may be significant, considering this client’s recent behavior?
  • Discuss what the RN would teach the client about Bipolar Disorder.
  • Provide two 3-part nursing diagnosis statements that might be appropriate for this client. (Note: Each statement must include an actual NANDA-I nursing diagnosis [no risk-for diagnoses], related factor, and “as evidenced by.”)

Solution Preview


1. The priority nursing action is promoting sleep. 2. The medical concern is having multiple sexual partners. This will lead to…

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