Mental health Bipolar disorder A 28-year-old single male with a…

Question Answered step-by-step Mental health Bipolar disorder A 28-year-old single male with a… Mental health Bipolar disorderA 28-year-old single male with a diagnosis of bipolar disorder, manic phase has come to the community mental health outpatient clinic complaining of sore feet. He states he has been “walking for the past twodays.” He was evaluated for blisters and possible infections to his feet, dehydration, and medication adherence.During the mental status assessment, the registered nurse observes that the client is poorly groomed, and he is dressed in an eccentric manner. His affect is angry, mood labile (shifts from happy to sad quickly). He exhibits hyper-verbal speech with flight of ideas, and periods of agitation through explosive outbursts. The client states, “I can’t sleep, and I feel great.” The client also shares that he is experiencing living arrangement changes that are stressful and anxiety-provoking. He expresses delusions of grandeur and religiosity, focusing on his “personal connection to Jesus,” and his ability to “cure others” as Jesus did. The client speaks of “knowing people are talking about him behind his back,” especially women who are “sexually interested” in him. The client denies auditory and visual hallucinations. His short-term, remote, and long-term memories were tested and are intact. He is oriented to person, place, and time, but not situation. He exhibits difficulty focusing and concentrating on answering questions and is easily distracted. He denies the presence of suicidal or homicidal feelings, plans, or intent. The client is unemployed and lives on SSI disability. His family lives in New York City and he is in frequent contact with his parents. The client states, “I came here to go to Berkeley and have a PhD in environmental engineering.” The client is unable to identify a precipitating date of illness and states, “I have always been up and down for as long as I can remember.” The client’s father has a diagnosis of bipolar disorder, and a sister is being treated for major depression. The client’s medication profile includes lithium carbonate, which he discontinued one week ago. He denies the use of alcohol and other substancesQuestion develop a care plan using the Assessment -objective and subjective dataNursing diagnosisPlanningNursing goalsImplementationevaluation Health Science Science Nursing PSYCH MENTALHEAL Share QuestionEmailCopy link Comments (0)