Bipolar Disorder Case Study of Lucas
Callahan Shadow Health Subjective Data
and Care Plan/ Detailed Bipolar Case
Study Review/ Shadow Health / DCE /
Bipolar
SECTION I: Chief Complaint & History of Presenting Illness
1. What is Lucas Callahan's chief complaint?
A. Shortness of breath and chest pain
B. Brought to ED by police for erratic behavior
C. Suicidal ideation
D. Medication side effects
Correct Answer: B
Rationale: Lucas was brought to the ED by police for erratic behavior in a grocery store
parking lot. He was looking into cars because he suspected government agents were
following him. This is the chief complaint that prompted his evaluation.
2. Where was Lucas when the police found him?
A. In his apartment
B. In a grocery store parking lot
,C. At a friend's house
D. On a college campus
Correct Answer: B
Rationale: Lucas reports being in a grocery store parking lot when the police found him.
He was looking into cars because he had a suspicion that government agents were
following him.
3. Why does Lucas believe government agents are following him?
A. He committed a crime
B. They see his enlightenment as a threat to their secrets
C. He owes them money
D. He is a government witness
Correct Answer: B
Rationale: Lucas states, "Just over the horizon is a very big rug. All of the big wigs
sweep their secrets under it. I have peeked into the un-peekable. That's why the agents
came after me. I was a threat to all that was thought swept-away". This
demonstrates paranoid and grandiose delusions.
4. How long has Lucas been experiencing his current elevated mood and energy?
A. 1 day
B. 3 days
,C. 1 week
D. 2 months
Correct Answer: C
Rationale: Lucas reports that his current high energy and euphoria began
approximately one week ago. He describes it as: "The days have been bleeding
together... I'm pretty sure all this hit me about a week ago. It's like one minute you're
taking a siesta on your friend's couch, and the next minute you're Zeus walking the
earth".
5. How does Lucas describe his typical moods?
A. Consistently stable and neutral
B. Always depressed
C. Option A: bottomless rat hole (depression); Option B: good vibes that don't
disappoint (euphoria)
D. Always anxious
Correct Answer: C
Rationale: Lucas states, "You've got Option A and Option B. With A, we're talking about
a bottomless rat hole. With B, we're talking good vibes that don't disappoint. I'll stick
with B, thanks". This describes his experience of bipolar mood episodes.
6. How often does Lucas experience mood changes?
, A. Daily
B. Weekly
C. A couple of times per year
D. Never
Correct Answer: C
Rationale: Lucas reports that his mood changes occur a couple of times per year. This is
consistent with the episodic pattern of bipolar disorder.
7. When did Lucas's last depressive episode end?
A. 1 week ago
B. 1 month ago
C. A couple of months ago
D. 3 years ago
Correct Answer: C
Rationale: Lucas reports that his last depressive episode ended a couple of months ago.
He states, "I have depression or whatever, but it's been a couple months since I've felt
that way, so I really don't see it coming back".
8. What is Lucas's sleep pattern?
A. 7-8 hours of restful sleep per night
B. Typically 2-3 hours per night; has not slept for approximately 4 days
Callahan Shadow Health Subjective Data
and Care Plan/ Detailed Bipolar Case
Study Review/ Shadow Health / DCE /
Bipolar
SECTION I: Chief Complaint & History of Presenting Illness
1. What is Lucas Callahan's chief complaint?
A. Shortness of breath and chest pain
B. Brought to ED by police for erratic behavior
C. Suicidal ideation
D. Medication side effects
Correct Answer: B
Rationale: Lucas was brought to the ED by police for erratic behavior in a grocery store
parking lot. He was looking into cars because he suspected government agents were
following him. This is the chief complaint that prompted his evaluation.
2. Where was Lucas when the police found him?
A. In his apartment
B. In a grocery store parking lot
,C. At a friend's house
D. On a college campus
Correct Answer: B
Rationale: Lucas reports being in a grocery store parking lot when the police found him.
He was looking into cars because he had a suspicion that government agents were
following him.
3. Why does Lucas believe government agents are following him?
A. He committed a crime
B. They see his enlightenment as a threat to their secrets
C. He owes them money
D. He is a government witness
Correct Answer: B
Rationale: Lucas states, "Just over the horizon is a very big rug. All of the big wigs
sweep their secrets under it. I have peeked into the un-peekable. That's why the agents
came after me. I was a threat to all that was thought swept-away". This
demonstrates paranoid and grandiose delusions.
4. How long has Lucas been experiencing his current elevated mood and energy?
A. 1 day
B. 3 days
,C. 1 week
D. 2 months
Correct Answer: C
Rationale: Lucas reports that his current high energy and euphoria began
approximately one week ago. He describes it as: "The days have been bleeding
together... I'm pretty sure all this hit me about a week ago. It's like one minute you're
taking a siesta on your friend's couch, and the next minute you're Zeus walking the
earth".
5. How does Lucas describe his typical moods?
A. Consistently stable and neutral
B. Always depressed
C. Option A: bottomless rat hole (depression); Option B: good vibes that don't
disappoint (euphoria)
D. Always anxious
Correct Answer: C
Rationale: Lucas states, "You've got Option A and Option B. With A, we're talking about
a bottomless rat hole. With B, we're talking good vibes that don't disappoint. I'll stick
with B, thanks". This describes his experience of bipolar mood episodes.
6. How often does Lucas experience mood changes?
, A. Daily
B. Weekly
C. A couple of times per year
D. Never
Correct Answer: C
Rationale: Lucas reports that his mood changes occur a couple of times per year. This is
consistent with the episodic pattern of bipolar disorder.
7. When did Lucas's last depressive episode end?
A. 1 week ago
B. 1 month ago
C. A couple of months ago
D. 3 years ago
Correct Answer: C
Rationale: Lucas reports that his last depressive episode ended a couple of months ago.
He states, "I have depression or whatever, but it's been a couple months since I've felt
that way, so I really don't see it coming back".
8. What is Lucas's sleep pattern?
A. 7-8 hours of restful sleep per night
B. Typically 2-3 hours per night; has not slept for approximately 4 days
