Which of the Following Rationales by a Nurse Explain to Parents

Which of the following rationales by a nurse explain to parents why is it difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? (Select all that apply.)

A) Bipolar symptoms mimic attention deficit-hyperactivity disorder symptoms.
B) Children are naturally active,energetic,and spontaneous.
C) Neurotransmitter levels vary considerably in accordance with age.
D) The diagnosis of bipolar disorder cannot be assigned prior to the age of 18.
E) Genetic predisposition is not a reliable diagnostic determinant.
Nursing Process: Assessment
Client Need: Psychological Integrity