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NSG 322: Bipolar/ impulse control disorders Verified and Updated Questions and Answers (100% Correct Answers

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NSG 322: Bipolar/ impulse control disorders Verified and Updated Questions and Answers (100% Correct Answers

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NSG 322: Bipolar/ impulse control disorders
Verified and Updated Questions and
Answers (100% Correct Answers)
what are the two poles that bipolar disorder is characterized by?
Answer: mania & depression


bipolar 2 disorder
Answer: defined by a pattern of depressive episodes and hypomanic episodes, but
not the full-blown manic episodes


is characterized by cycles of hypomania, or less severe mania, lasting at least four
days, and major depression.


EX:These clients may seem more talkative or distractible than usual, but not
experience serious impairment in social or occupational functioning. (anxiety/eating
disorders)


Average age of onset: 18-20 years


bipolar 1 disorder
Answer: consists of full manic episodes alternating with major depressive episodes


- Most severe form


- Highest mortality rate


- At least 1 manic episode


- Cycle between manic and severe depression


(anxiety, ADHD, impulse/conduct, migraines)


Average age of onset: 18-20 years


Cyclothymic Disorder (Cyclothymia)
Answer: defined by symptoms of hypomania alternate with symptoms of mild to
moderate depression for at least 2 years in adults and 1 year in children.

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what kind of people is bipolar disorder more common in?
Answer: creative and highly- educated people


the more severe phases of bipolar disorder increase the _____
Answer: suicide risk


what are the three brain chemicals that have beenimpicated to bipolar disorder
Answer: serotonin, dopamine, and noradrenaline


Environmental Factors in Bipolar Disorder
Answer: A life event may trigger a mood episode in a person with a genetic
disposition for bipolar disorder.


Even without clear genetic factors, altered health habits, alcohol or drug abuse, or
hormonal problems can trigger an episode.


sleep disruption in bipolar disorder
Answer: Some findings show that people with bipolar disorder have a genetic
predisposition to sleep-wake cycle problems that may trigger symptoms of
depression and mania.


Manic Episode vs Depressive Episode
Answer: manic: "wired" decreased need for sleep, loss of appetite, talk fast about
differnet things, can do a lot at once, do risky things w poor judgement


depressive: "down", trouble falling asleep, wake up too early or sleep too much.
increased appetite weight gain, trouble concentrating =, lack of interest in activities


Hypomania
Answer: low-level, less severe manic phases; A mild manic state in which the
individual seems infectiously merry, extremely talkative, charming, and tireless.


- Euphoric, increases functioning


- Usually accompanied by excessive activity and energy


mania
Answer: A period of intense mood disturbance with persistent euphoria, elevation
and or expansiveness lasting for at least one week for most of the day, nearly every
day. clients are extremely goal directed in targeted activities or goals. Ex: a client
may buy 72 pairs of shoes, or hike 40 miles while staying awake for 24 hours
straight, without feeling tired, drinking or eating. They are in perpetual motion, may
talk non-stop and/or engage in agitated and aggressive behavior. Because they feel

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so powerful (elevated) and important, they frequently engage in high risk behaviors
and may be injured or harm others. They may experience psychotic symptoms as
well.


This is a psychiatric emergency and requires hospitalization.


diagnosis of mania & hypomania s/s
Answer: •Abnormally upbeat, jumpy, or wired


•Increased activity, energy, or agitation


•Exaggerated sense of well-being and self-confidence


•Decreased need for sleep


•Unusual talkativeness


•Racing thoughts


•Distractibility


•Poor decision-making


acute phase of mania treatment
Answer: •Medical stabilization


•Maintaining safety


•Self-care needs


continuation phase of mania treatment
Answer: •Maintaining medication adherence


•Psychoeducational teaching


•Referrals


maintenence phase of mania treatment
Answer: •Preventing relapse

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