A client with bipolar disorder tells the nurse, "I am thinking of switching to an alternating day/night shift because it pays more and will give me more time with my children
" The nurse's reply should be based on the knowledge of which of the following? 1. The client's priority is steady employment.
2. The client should contact the nurse if prodromal symptoms of the bipolar disorder occur.
3. Disruptions in biologic rhythms can impact the client's bipolar disorder.
4. Biologic rhythms do not influence mood disorders.
3
Rationale: A stable work shift is essential to successful management of the bipolar disorder as irregular shift patterns could cause an exacerbation in the disorder. The client may not be able to maintain employment if there are exacerbations in the illness. Mood disorders often have a biologic rhythm component as evidenced by sleep pattern disturbances. It is prudent to maintain a consistent schedule to prevent the occurrence of mood changes as opposed to waiting for symptoms to occur.
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A) faith healing B) regular fasting C) observance of the sabbath D) ongoing group meetings and prayer