Share this article on:

Managing Patients with Bipolar Disorder at Home: A Family Affair and A Psychiatric Challenge in Home Healthcare

doi: 10.1097/NHH.0b013e318257d6a1
CE Connection

For 30 additional continuing nursing education articles on psychiatric topics, go to

Earn CE Credit online: Go to and receive a certificate within minutes.

Back to Top | Article Outline

Managing Patients With Bipolar Disorder at Home: A Family Affair and a Psychiatric Challenge in Home Healthcare


  • To take the test online, go to our secure Web site at
  • On the print form, record your answers in the test answer section of the CE enrollment form on page 293. Each question has only one correct answer. You may make copies of these forms.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no mini- mum passing grade.
  • Registration deadline is May 31, 2014.
Back to Top | Article Outline


  • Send two or more tests in any nursing journal published by Lippincott, Williams & Wilkins together by mail and deduct $0.95 from the price of each test.
  • We also offer CE accounts for hospitals and other health care facilities on Call 1-800-787-8985 for details.
Back to Top | Article Outline


Lippincott Williams & Wilkins, publisher of Home Healthcare Nurse, will award 2.5 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.


GENERAL PURPOSE: To present registered professional nurses with information related to psychiatric nursing in home care and specifically to bipolar disease.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

  1. Discuss the characteristics and prevalence of bipolar disorder, and the findings of the authors' review of the literature.
  2. Plan the appropriate interventions for home health patients who have bipolar disorder.
  1. Reports of the incidence of depression among the homebound elderly are as high as
    1. 35%.
    2. 46%.
    3. 54%.
    4. 61%.
  2. When home care clinicians use OASIS-C to assess depression, what is the cutoff score at which they must complete a more thorough screening for depression?
    1. 0
    2. 1
    3. 2
    4. 3
  3. Depression screening was added to the OASIS-C for several reasons, one of which was to
    1. lead to screening for bipolar and other disorders.
    2. refer patients to services outside of home care.
    3. reduce inpatient readmission rates.
    4. add psychiatric care to home health services.
  4. According to Zeltzer and Kohn, what percentage of home health care agencies (HHAs) they surveyed referred patients who were yelling, hitting, or demonstrating other forms of agitation to the physician for treatment?
    1. 29%
    2. 36%
    3. 42%
    4. 53%
  5. Zeltzer and Kohn also reported that about what percentage of HHAs said they would consider making a referral to a mental health provider whether or not the provider made home visits?
    1. 26%
    2. 34%
    3. 45%
    4. 52%
  6. A study by Vanderhorst and colleagues reported that what percentage of a group of patients who were offered psychiatric home care interventions were stable at discharge?
    1. 30%
    2. 40%
    3. 50%
    4. 60%
  7. Bipolar disorder most often begins in
    1. childhood.
    2. adolescence.
    3. young adulthood.
    4. middle age.
  8. The National Institute of Mental Health reported an overall bipolar spectrum rate of
    1. 2.4%.
    2. 3.6%.
    3. 4.3%.
    4. 5.7%.
  9. Which of the following countries has the highest prevalence of bipolar disorder?
    1. India
    2. China
    3. New Zealand
    4. United States
  10. The most prevalent disorders coexisting with bipolar disorder were
    1. eating disorders.
    2. anxiety disorders.
    3. panic disorders.
    4. personality disorders.
  11. The drug therapy of choice for bipolar disorder is
    1. antidepressants.
    2. antipsychotics.
    3. mood stabilizers.
    4. anxiolytics.
  12. Which of the following medications used to treat bipolar disorder puts patients at risk for hypothyroidism?
    1. bupropion (Wellbutrin)
    2. lithium (Eskalith)
    3. quetiapine (Seroquel)
    4. topiramate (Topamax)
  13. Lithium poses particular risks for patients who also take
    1. beta blockers.
    2. salicylates.
    3. anticoagulants.
    4. thiazide diuretics.
  14. An alternative to lithium that was approved by the FDA in 1995 for treating mania is
    1. paroxetine (Paxil).
    2. valproic acid (Depakote).
    3. aripiprazole (Abilify).
    4. olanzapine (Zyprexa).
  15. Many anticonvulsant medications have an FDA warning that states that their use may increase the risk of
    1. renal failure.
    2. gastric ulceration.
    3. bronchospasm.
    4. suicidal thoughts.
  16. sIt is the primary goal of which of the following treatment approaches to help people with bipolar disorder learn to change harmful or negative thought patterns and behaviors?
    1. Family-focused therapy
    2. Individual psychotherapy
    3. Cognitive behavioral therapy
    4. Interpersonal therapy
  17. Using the Young Mania Rating Scale, which of these would be given a score of 6?
    1. Threatens interviewer, shouting, interview difficult
    2. Assaultive, destructive, interview impossible
    3. Sarcastic, loud at times, guarded
    4. Demanding, threats
  18. Adverse effects of aripiprazole (Abilify, Aripiprex) include
    1. dysphasia
    2. tachycardia
    3. hypoglycemia
    4. neuroleptic malignant syndrome


© 2012 Lippincott Williams & Wilkins, Inc.