Bipolar Disorder Case Study of Lucas Callahan Shadow Health Subjective Data and Care Plan/ Detailed Bipolar Case Study Review/ Shadow Health / DCE / Bipolar

Bipolar Disorder Case Study of Lucas
Callahan Shadow Health Subjective Data
and Care Plan/ Detailed Bipolar Case
Study Review/ Shadow Health / DCE /
Bipolar




1. What is Lucas Callahan's age?

 A. 22
 B. 25
 C. 30
 D. 35
 Rationale: Lucas Callahan is a 25-year-old white male who was brought to the ED
for erratic behavior .

2. How was Lucas brought to the emergency department?

 A. By ambulance
 B. He walked in voluntarily
 C. By police
 D. By his parents

,  Rationale: Lucas was brought to the ED at 11:30 PM by the police for erratic
behavior in a grocery store parking lot .

3. What was Lucas doing in the grocery store parking lot that prompted the police
call?

 A. Stealing a car
 B. Looking in cars
 C. Shoplifting
 D. Fighting with another person
 Rationale: Lucas was in the grocery store parking lot checking out cars because
he suspected government agents were following him .

4. Why did Lucas believe he needed to check the cars?

 A. He lost his keys
 B. He was looking for a friend
 C. He believed government agents were following him
 D. He was looking for his car
 Rationale: Lucas reported he was checking cars because he had a suspicion there
were government agents following him, waiting to "scoop him up" .

5. Lucas believes the government agents know he is "enlightened" and that his
writings could:

 A. Make him famous
 B. Overthrow their secrets
 C. Get him a job
 D. Cure his illness
 Rationale: Lucas states the government knows he is enlightened and that if his
writings get out, their secrets will be overthrown .

6. What is Lucas's chief complaint?

,  A. Depression
 B. Anxiety
 C. Erratic behavior and elevated mood
 D. Physical pain
 Rationale: Lucas presents with erratic behavior, elevated mood, and paranoid
delusions—consistent with a manic episode .

7. Lucas describes his current mood as:

 A. Depressed
 B. Anxious
 C. "Crazy up and up" with "good vibes"
 D. Indifferent
 Rationale: Lucas states he has felt "crazy up and up" and chooses "Option B" with
"good vibes that don't disappoint" .

8. Lucas compares his current good mood to which alternative?

 A. "Option 1"
 B. "Option A" - a bottomless rat hole
 C. "Option 3"
 D. "Option Z"
 Rationale: Lucas describes "Option A" as a "bottomless rat hole" and opts for
"Option B" with "good vibes that don't disappoint" .

9. How long has Lucas been experiencing his current elevated mood and energy?

 A. A few days
 B. About one week
 C. One month
 D. Three months
 Rationale: Lucas reports his current high energy and euphoric mood began
approximately one week ago .

, 10. Lucas claims he feels like he could:

 A. Run a marathon
 B. Fly
 C. Lift a horse
 D. Work for days
 Rationale: Lucas states, "I feel like I could lift a horse," demonstrating grandiosity
and elevated energy .

11. Lucas denies experiencing which of the following?

 A. Racing thoughts
 B. Paranoid thoughts
 C. Hallucinations
 D. Decreased need for sleep
 Rationale: Lucas denies any hallucinations; his thought disturbances are
delusional rather than perceptual .

12. Which of the following best describes Lucas's affect during the interview?

 A. Flat
 B. Labile
 C. Expansive and cheerful
 D. Anxious
 Rationale: Lucas demonstrates an expansive affect characterized by excessive
cheerfulness, frequent laughter, and smiling .

13. Lucas's speech during the interview is described as:

 A. Slow and hesitant
 B. Rapid and hyperverbal
 C. Mute
 D. Normal rate