A client with severe and persistent bipolar disorder, manic type, will be most adversely affected in her ability to live independently in the community by her:
1. Disturbed thought processes
2. Lack of communication skills
3. Withdrawn behavior
4. Cocaine abuse
ANS: 1
The client's altered thought processes limit her coping skills and impair judgment in managing problems of daily living. 2. Clients with bipolar disorder rarely lack communication skills. In fact, they are often hyperverbal. 3. Bipolar clients with manic symptoms tend to be extroverted rather than withdrawn. 4. Not all bipolar clients with manic symptoms abuse cocaine, although some attempt to manage symptoms by using this substance.
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