A nurse presents a psychoeducational program to patients with bipolar disorder and their families. Information about signs of impending relapse of mania should include
a. diarrhea, thirst, and gross tremor.
b. sleep disturbances and racing thoughts.
c. decreased libido, anhedonia, and hypersomnia.
d. delusional thinking, excessive guilt, and passivity.
B
Relapse symptoms are congruent with early symptoms of a manic episode. They include sleeping less, experiencing racing thoughts, and having boundless energy. Diarrhea, thirst, and tremor relate to lithium side effects. Libido increases. Delusional thinking may occur in an exacerbation of the illness but not usually before relapse.
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