Family members of a patient with bipolar disorder tell the nurse that they are concerned that the patient is becoming manic. The nurse knows that the manic phase is marked by:


•The manic phase of bipolar disorder is characterized by a flight of ideas, inflated self-esteem, unusual talkativeness, increased social or sexual activity, physical restlessness, decreased need for sleep, increased distractibility, and excessive involvement in activities with a high potential for painful but unrecognized consequences.

•Obsession with following rules and maintaining order characterizes an obsessive compulsive disorder.

•Increased sleep is manifested in patients who are depressed or showing negative symptoms of schizophrenia.

•Decreased self-esteem and increased restlessness is found in patients who have dependent personality disorders.

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