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[COMPANY NAME] [Company address] Case Study Bipolar Depression (Mania), UNFOLDING Reasoning, Brenden Manahan, 35 years old, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A lOMoARcPSD|15217078
Bipolar Depression/Mania
UNFOLDING Reasoning
Brenden Manahan, 35 years old
Primary Concept
Mood and Affect
Interrelated Concepts (In order of emphasis)
1.Psychosis
2.Clinical Judgment
3.Patient Education
4.Communication lOMoARcPSD|15217078
Bipolar Depression/Mania
History of Present Problem:
Brenden Manahan is a 35-year-old male, who has been admitted to the crisis intervention unit for exacerbation of his bipolar disorder. He was admitted on a 501 (involuntary inpatient admission, patient has been deemed either dangerous to
self or others) and brought to the hospital by police because his mother feared for his safety. In the past few weeks he stopped taking his medication because he feared that his mother was poisoning him.
Brenden has not slept in the past four days due to racing thoughts. He believes that he is the head of the CIA and told his mother that he needed her car to go to CIA headquarters in McLean, Virginia, and fire everyone. When the police arrived, they noted that Brenden was speaking at a very rapid rate and pace and was becoming increasingly agitated. He began yelling that the police where there to poison him and prevent him from returning to his job.
He has been admitted to the locked mental health unit for evaluation of his mental capacity and stabilization. Brenden
will participate in the following education groups: medication education, and bipolar illness education. The goal is to resume lithium carbonate and divalproex sodium.
Personal/Social History:
Brenden was diagnosed at 19 with bipolar I, and subsequently has been admitted six times due to non-adherence to the medication regimen. Brenden is divorced and has a 3-year-old son who lives with his mother. He was recently in court to have his visitations reduced to one supervised visit a week. He lives with his mother, who is supportive.
What data from the histories is important and RELEVANT and has clinical significance for the nurse?
RELEVANT Data from Present Problem:Clinical Significance:
-Exacerbation of Bipolar Disease
-Has been admitted previously
-Dangerous to self, others, and police
-Noncompliant with medication regimen
--Agitated, rapid speech
-Has not slept for four days-Reason why patient was admitted on a 501 (involuntary inpatient admission)
-May have some relationship between staff, relapse
-Pt is at risk to harm himself and others
-Pt stopped taking lithium carbonate and divalproex, remission, and relapse
-Evidence why he is behaving this way
-Pt may not be able to follow directions or have ability to listen
-Pt cannot relax of sleep, symptom of mania, can make delusions worse
RELEVANT Data from Social History:Clinical Significance:
-Diagnosed at 19
-Admitted six times in the past due to non- adherence to med regimen
- Has a three-year-old son
-Is divorced
-Lives with mother, who is supportive-Lets medical professionals how long pt has had disorder, how long mother has been supporting son
-Previous admissions show relapse in illness
-May need to change care plan based on nonadherence to medication regime
-Pt has limited access to son, may be related to instability and safety of son
-May be related to reasons of depression
-Mother may be Pt. support system
Current VS: WILDA Pain Assessment (5th VS):
T: 99.1 F/37.3 C (oral)Words:Patient denies
P: 110 (regular) Intensity:
R: 28 (regular) Location:
BP: 142/84 Duration:
[COMPANY NAME] [Company address] Case Study Bipolar Depression (Mania), UNFOLDING Reasoning, Brenden Manahan, 35 years old, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A lOMoARcPSD|15217078
Bipolar Depression/Mania
UNFOLDING Reasoning
Brenden Manahan, 35 years old
Primary Concept
Mood and Affect
Interrelated Concepts (In order of emphasis)
1.Psychosis
2.Clinical Judgment
3.Patient Education
4.Communication lOMoARcPSD|15217078
Bipolar Depression/Mania
History of Present Problem:
Brenden Manahan is a 35-year-old male, who has been admitted to the crisis intervention unit for exacerbation of his bipolar disorder. He was admitted on a 501 (involuntary inpatient admission, patient has been deemed either dangerous to
self or others) and brought to the hospital by police because his mother feared for his safety. In the past few weeks he stopped taking his medication because he feared that his mother was poisoning him.
Brenden has not slept in the past four days due to racing thoughts. He believes that he is the head of the CIA and told his mother that he needed her car to go to CIA headquarters in McLean, Virginia, and fire everyone. When the police arrived, they noted that Brenden was speaking at a very rapid rate and pace and was becoming increasingly agitated. He began yelling that the police where there to poison him and prevent him from returning to his job.
He has been admitted to the locked mental health unit for evaluation of his mental capacity and stabilization. Brenden
will participate in the following education groups: medication education, and bipolar illness education. The goal is to resume lithium carbonate and divalproex sodium.
Personal/Social History:
Brenden was diagnosed at 19 with bipolar I, and subsequently has been admitted six times due to non-adherence to the medication regimen. Brenden is divorced and has a 3-year-old son who lives with his mother. He was recently in court to have his visitations reduced to one supervised visit a week. He lives with his mother, who is supportive.
What data from the histories is important and RELEVANT and has clinical significance for the nurse?
RELEVANT Data from Present Problem:Clinical Significance:
-Exacerbation of Bipolar Disease
-Has been admitted previously
-Dangerous to self, others, and police
-Noncompliant with medication regimen
--Agitated, rapid speech
-Has not slept for four days-Reason why patient was admitted on a 501 (involuntary inpatient admission)
-May have some relationship between staff, relapse
-Pt is at risk to harm himself and others
-Pt stopped taking lithium carbonate and divalproex, remission, and relapse
-Evidence why he is behaving this way
-Pt may not be able to follow directions or have ability to listen
-Pt cannot relax of sleep, symptom of mania, can make delusions worse
RELEVANT Data from Social History:Clinical Significance:
-Diagnosed at 19
-Admitted six times in the past due to non- adherence to med regimen
- Has a three-year-old son
-Is divorced
-Lives with mother, who is supportive-Lets medical professionals how long pt has had disorder, how long mother has been supporting son
-Previous admissions show relapse in illness
-May need to change care plan based on nonadherence to medication regime
-Pt has limited access to son, may be related to instability and safety of son
-May be related to reasons of depression
-Mother may be Pt. support system
Current VS: WILDA Pain Assessment (5th VS):
T: 99.1 F/37.3 C (oral)Words:Patient denies
P: 110 (regular) Intensity:
R: 28 (regular) Location:
BP: 142/84 Duration:
