The patient tells the nurse, "I thought I was just depressed, but my doctor says I have bipolar disorder. What is that?" What is the best response by the nurse?
1. "Bipolar disorder is just another type of depression, except your depression occurs in cycles."
2. "Bipolar disorder is a type of depression that includes attention deficit disorder symptoms."
3. "Bipolar disorder just means that your mood alternates with the seasons, and it becomes worse in the winter."
4. "Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania."
4
Rationale 1: Bipolar disorder must include either mania or hypomania, not just depression.
Rationale 2: Bipolar disorder must include depression with either mania or hypomania, not attention-deficit hyperactivity disorder.
Rationale 3: A mood change that becomes worse in the winter is called seasonal affective disorder.
Rationale 4: Patients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions.
Global Rationale: Patients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention-deficit hyperactivity disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.
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