The nurse is assessing a client with possible bipolar I disorder. The nurse anticipates that the primary healthcare provider (PHCP) will prescribe which laboratory testing?
The nurse is assessing a client with possible bipolar I disorder. The nurse anticipates that the primary healthcare provider (PHCP) will prescribe which laboratory testing?
A. Thyroid Stimulating Hormone (TSH)
[41%]
B. Complete Metabolic Panel (CMP)
[48%]
C. Glycated Hemoglobin A1C (HbA1c)
[2%]
D. C-Reactive Protein (CRP)
[9%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Reduction of Risk Potential
Related Topic
Lab Values
Item Type
Item Type
Application
Explanation
Choice A is correct. A TSH is the standard of care before diagnosing a mood disorder such as bipolar disorder or major depressive disorder. While this test does not confirm the presence of a mood disorder, it excludes alterations of the thyroid, which could alternatively explain the client’s symptoms. This is because thyroid dysfunction, specifically hypothyroidism, can mimic symptoms of depression and mood disorders. Therefore, checking TSH levels is essential to rule out thyroid-related causes of mood disturbances.
Choice B is incorrect. CMP is a broad screening test that assesses various aspects of a person's health, including kidney and liver function, electrolytes, and blood glucose levels. While this panel may be ordered for general health assessment, it is not specific to bipolar disorder.
Choice C is incorrect. HbA1c is a test primarily used to monitor long-term blood sugar control in individuals with diabetes. It is not relevant to the assessment of bipolar I disorder.
Choice D is incorrect. CRP is a marker of inflammation and is often used to assess cardiovascular risk. It is not a routine test for bipolar I disorder but may be ordered in the context of assessing overall health and potential comorbidities.
Related Videos
5 Key Topics
Thyroid Panel
2.3 Cardiac & Endocrine Markers
Bipolar Disorder
32.3 Major Psychiatric Disorders
Additional Info
✓ In addition to laboratory tests, a comprehensive psychiatric assessment, including a detailed history of mood episodes, manic or hypomanic symptoms, and family history, is crucial for an accurate diagnosis.
✓ Clients with bipolar disorder, especially during manic or hypomanic episodes, may engage in risky behaviors. The nurse should assess for potential safety concerns and collaborate with the healthcare team to develop a safety plan if needed.
✓ If bipolar disorder is diagnosed, the client may require pharmacological interventions, such as mood stabilizers, antipsychotics, or antidepressants. The nurse should educate the client about the prescribed medications, potential side effects, and the importance of medication adherence.
