A nurse who is caring for an older patient with bipolar disorder knows that the patient needs ad-ditional education when the patient states:
a. "Bipolar disorder often results in ‘a level-ing out' of symptoms as one ages."
b. "Relapses in bipolar disorder tend to be precipitated by medical problems."
c. "Older adults with bipolar disorder tend to be ‘rapid cyclers'."
d. "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults."
ANS: D
Depression is the most common psychiatric disorder in older adults. Bipolar disorders tend to level out in later life, and individuals tend to have longer periods of depression. Relapses in older adults are usually precipitated by medical problems. Older adults tend to be "rapid cyclers," cy-cling from mania to deep depression in a much shorter period of time than they did when they were younger.
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