Final Exam) NR547: NR547 Final Exam: Questions & Answers: Guaranteed A+ Score Solution: Latest Updated

Tariq is a 22-year-old who presents with symptoms of racing thoughts and an inability to pay attention in his college classes. He is currently failing most of his courses. He feels like he needs to talk constantly. He calls friends at all hours and tries to engage strangers in conversation. He also reports feeling restless and tense. He has experienced these symptoms continuously for the past two weeks. His toxicology screen is negative, and he takes no medications. What is the appropriate ICD-10 code for Tariq? (Ans- F31.89 Rationale: The ICD-10 code is F31.89 bipolar 1 disorder with anxious distress. Tariq meets diagnostic criteria for Bipolar I, with symptoms including racing thoughts, difficulty paying attention, and constant talking. He is experiencing consequences from his behavior as he is failing classes. He has experienced the symptoms for two weeks. Because he also has symptoms of restlessness and increased tension, he also meets the qualifying diagnostic criteria for anxious distress. Savannah is a 32-year-old who presents with her husband. Her husband states that Savannah has spent thousands of dollars on new clothing and shoes in the past month. The clothing she has purchased is much more revealing than her typical wardrobe. She is sleeping for just a few hours per night. She is spending hours on Twitter and is constantly boasting about how many retweets she receives and how manyfollowers she has. Two days ago, Savannah reported that the drummer of her favorite band began following her; she is planning to skip work for a week to travel out of state and attend the band's concert. She asserts that the drummer has invited her backstage to have sex following the concert. Savannah has never had behaviors like this in the past. Her toxicology screen is negative. What is the appropriate ICD-10 code for Savannah? (Ans- F31.2 Rationale: The ICD-10 code is F31.2 bipolar 1 disorder with moodcongruent psychotic features. Savannah meets diagnostic criteria for bipolar I, with symptoms of grandiosity, decreased sleep, and excessive shopping. She is experiencing impairment in social and occupational functioning. She has experienced these symptoms for a month. Because Savannah is also experiencing delusional thinking consistent with her mood, she also meets the criteria for mood-congruent psychotic features. Vladimir is a 25-year-old who presents with feelings of racing thoughts. His thoughts are centered on feelings of worthlessness. He reports feeling very fatigued and continually paces around the room. He has been irritable and easily distracted for the last two weeks. He endorses an increase in sexual behavior, including several recent episodes of unprotected sex with multiple partners. He admits to having suicidal ideations. What is the appropriate ICD-10 code for Vladimir(Ans- F31.12 Rationale: The ICD-10 code is F31.12 bipolar 1 disorder manic episode with mixed features. Vladimir meets diagnostic criteria for bipolar I disorder, with symptoms including racing thoughts, psychomotor agitation, distraction, risky behaviors, and irritability for the past two weeks. Because he also endorses fatigue, feelings of worthlessness, and suicidal ideation, he meets the criteria for a manic episode with mixed features. Screening tools for bipolar disorders: (AnsMood disorder questionnaire -a non-diagnostic, self-rated instrument that provides information to clients who may need additional assessment. Bipolar spectrum diagnostic scale -a self-rated instrument presented in story format that is sensitive to subtle symptoms of bipolar disorder Medical Diagnoses that Mimic Bipolar Disorder (Ans- -hyperthyroidism-hyperaldosteronism -brain tumor -neurocognitive disorder -delirium Rationale: Medical conditions that commonly present with symptoms that mimic mania include hyperthyroidism, hypercortisolemia, hyperaldosteronism, brain tumor, neurocognitive disorder, acromegaly, delirium, lupus, HIV, or syphilis. medications or substances commonly cause symptoms that mimic mania? (Anssteroid medications hallucinogens methamphetamine marijuana Rationale: Medications and substances with effects that mimic mania include levodopa, hallucinogens, antidepressants, methamphetamine, marijuana, or cocaine.Bipolar disorder tx: pharmacological (Ans- Antipsychotics Anticonvulsants Benzodiazepines Lithium salts Antidepressants