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i-HUMAN NR 2026: Mood Instability, Depression & Mania (Bipolar I) | Complete Case Study Guide with SOAP Note, Safety Plan & A+ Graded Solution 2025/2026

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Ace your NR 2026 Mental Health Nursing i-Human assignment with this comprehensive, A+ graded case study guide for 2025/2026. This resource provides a complete walkthrough of a 32-year-old female presenting with mood instability, depression, and mania—diagnosed as Bipolar I Disorder with Rapid Cycling. It includes a full SOAP note, detailed Mental Status Examination (MSE), DSM-5 diagnostic criteria, suicide risk assessment, safety plan, evidence-based pharmacologic management (lithium & quetiapine), and psychotherapy interventions (IPSRT, CBT). Learn to differentiate bipolar I from II, apply the DIGFAST mnemonic, and master clinical reasoning for psychiatric-mental health virtual patient encounters. Perfect for nursing students aiming for top grades and NCLEX success.

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i-HUMAN NR 2026: CASE STUDY
Mood Instability, Depression & Mania
Verified A+ Graded Solution 2025/2026


Document Information

Element Details

Course NR 2026 – Mental Health Nursing / Psychiatric-Mental Health

Case Type i-Human Virtual Patient Encounter

Patient 32-year-old female

Chief Mood swings, feeling "on top of the world" sometimes, then
Complaint "crashing into a deep hole"

Format Complete SOAP Note + Clinical Reasoning + Management Plan

,2|Page


Element Details

Year 2025/2026

Grade Target A+



Table of Contents

Section Content Page

1 Case Overview & Demographics 4

2 Subjective Data (History of Present Illness) 5

3 Objective Data (Mental Status Examination) 9

4 Assessment (Differential Diagnoses & Primary Diagnosis) 12

5 Plan (Diagnostic Workup & Management) 15

,3|Page


Section Content Page

6 Mood Disorder Clinical Reasoning 19

7 Patient Education & Safety Plan 21

8 Sample i-Human Question Responses 23

9 Bipolar Disorder High-Yield Content 28

10 References & Evidence-Based Guidelines 30

11 Complete SOAP Note (Formatted for Submission) 31



SECTION 1: CASE OVERVIEW & DEMOGRAPHICS
Patient Profile

, 4|Page


Attribute Details

Age 32 years

Gender Female

Ethnicity Caucasian

Occupation Marketing executive (currently on medical leave)

Marital
Married, 2 children (ages 5 and 7)
Status

"I feel like I'm losing my mind. Some days I'm on top of the world,
Chief
and other days I can't get out of bed. My husband is worried about
Complaint
me."

Presenting Problem
A 32-year-old female presents to the outpatient psychiatric clinic accompanied by her husband. She
reports a 6-month history of dramatic mood swings. She describes periods of elevated mood lasting
4-7 days during which she feels "invincible," sleeps only 3-4 hours per night, talks rapidly, and

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Number of pages
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Written in
2025/2026
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