Which nursing diagnosis would most likely apply to both a patient diagnosed with major depression as well as one experiencing acute mania?

Question

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Patients with mood disorders,both depression and mania,experience sleep pattern disturbances.Assessment data should be routinely gathered about this possible problem.Deficient diversional activity is more relevant for patients with depression.Defensive coping is more relevant for patients with mania.Fluid volume excess is less relevant for patients with mood disorders than is deficient fluid volume.

Which Nursing Diagnosis Would Most Likely Apply to Both a Patient