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 serious but unrecognized consequences.

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

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

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

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