Which of the following symptoms would require the nurses immediate attention if the patient had bipolar affective disorder?
  1. Outlandish behaviors and inappropriate dress
  2. Grandiose delusions of being a royal descendent of King Arthur
  3. Nonstop physical activity and poor nutritional intake
  4. Constant, incessant talking that includes sexual innuendoes and teasing the staff
Explanation
Answer: C - The nurse would need to give her immediate attention to the bipolar patient with nonstop physical activity and poor nutritional intake. The patient with bipolar affective disorder has moments of mania, which are characterized by euphoria, hyperactivity, excitement and excessive energy. These patients would have a difficult time completing a single train of thought. The behavior of the patient represents a problem and needs to be addressed immediately before it escalates.
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