CMN 350 EXAM 2 QUESTIONS WITH
CORRECT ANSWERS
\.Symptoms of a Manic Episode - ANSWERS✔-elevated mood, grandiosity, inflated
self-esteem, irritability, anger, insomnia, anorexia, flamboyant gestures, flight of
ideas, racing thoughts, distractibility, hyperactivity
\.Symptoms must last _______ to meet diagnostic criteria of mania - ANSWERS✔-
1 weeks
\.Key nursing interventions for manic episodes - ANSWERS✔-- be consistent
- provide finger foods
- provide a quiet place to sleep
- reduce stimuli
reinforce reality
keep away from exits
\.Sign of manic relapse - ANSWERS✔-no sleep
\.Rapid Cycling - ANSWERS✔-4 manic episodes in a year
,\.Hypomanic Episodes - ANSWERS✔-- patients feel good about themselves and
their life
- still functional
- length of episode must be 4 days
- at least three manic symptoms
- usually not treated
\.Symptoms of depressive episodes - ANSWERS✔-withdrawal, passivity, insomnia,
daytime sleepiness, anorexia, sluggish thinking, difficulty concentrating,
diminished interest in activities, sleep a lot, weight loss
\.Bipolar I Disorder - ANSWERS✔-- patient experiences swings between manic
episodes and major depression
- will experience the most severe symptoms of both mania and depression
- often requires hospitalization
\.dysthymic disorder - ANSWERS✔-severe depression which is persistent and lasts
for years
\.Neurotransmitter changes in bipolar - ANSWERS✔-increase in norepinephrine
and dopamine
\.Bipolar 2 - ANSWERS✔-- hypomanic episode with severe depression
- patient will only be hospitalized for depression
, \.Cyclothymic Disorder - ANSWERS✔-A swing between hypomanic episode and
dysthymia
\.Problems often faced by people with bipolar - ANSWERS✔-failed relationships,
job loss or failure, overbearing behavior, increased sex drive, alienation from
family
\.3 treatment goals of bipolar - ANSWERS✔-- getting acute mania under control
- preventing relapse when remission occurs
- returning to prior level of functioning
\.What antipsychotic is often given to anorexic patients to promote weight gain? -
ANSWERS✔-Olanzapine
\.What drug is often used to treat bipolar/mania and what is the usual dosage? -
ANSWERS✔-Lithium, 600mg
\.ALWAYS assess for - ANSWERS✔-suicide
\.Lithium - ANSWERS✔-- usually requires multiple doses per day
- short half-life (24 hours)
- take with meals
- drink 10 to 12 glasses of water per day
CORRECT ANSWERS
\.Symptoms of a Manic Episode - ANSWERS✔-elevated mood, grandiosity, inflated
self-esteem, irritability, anger, insomnia, anorexia, flamboyant gestures, flight of
ideas, racing thoughts, distractibility, hyperactivity
\.Symptoms must last _______ to meet diagnostic criteria of mania - ANSWERS✔-
1 weeks
\.Key nursing interventions for manic episodes - ANSWERS✔-- be consistent
- provide finger foods
- provide a quiet place to sleep
- reduce stimuli
reinforce reality
keep away from exits
\.Sign of manic relapse - ANSWERS✔-no sleep
\.Rapid Cycling - ANSWERS✔-4 manic episodes in a year
,\.Hypomanic Episodes - ANSWERS✔-- patients feel good about themselves and
their life
- still functional
- length of episode must be 4 days
- at least three manic symptoms
- usually not treated
\.Symptoms of depressive episodes - ANSWERS✔-withdrawal, passivity, insomnia,
daytime sleepiness, anorexia, sluggish thinking, difficulty concentrating,
diminished interest in activities, sleep a lot, weight loss
\.Bipolar I Disorder - ANSWERS✔-- patient experiences swings between manic
episodes and major depression
- will experience the most severe symptoms of both mania and depression
- often requires hospitalization
\.dysthymic disorder - ANSWERS✔-severe depression which is persistent and lasts
for years
\.Neurotransmitter changes in bipolar - ANSWERS✔-increase in norepinephrine
and dopamine
\.Bipolar 2 - ANSWERS✔-- hypomanic episode with severe depression
- patient will only be hospitalized for depression
, \.Cyclothymic Disorder - ANSWERS✔-A swing between hypomanic episode and
dysthymia
\.Problems often faced by people with bipolar - ANSWERS✔-failed relationships,
job loss or failure, overbearing behavior, increased sex drive, alienation from
family
\.3 treatment goals of bipolar - ANSWERS✔-- getting acute mania under control
- preventing relapse when remission occurs
- returning to prior level of functioning
\.What antipsychotic is often given to anorexic patients to promote weight gain? -
ANSWERS✔-Olanzapine
\.What drug is often used to treat bipolar/mania and what is the usual dosage? -
ANSWERS✔-Lithium, 600mg
\.ALWAYS assess for - ANSWERS✔-suicide
\.Lithium - ANSWERS✔-- usually requires multiple doses per day
- short half-life (24 hours)
- take with meals
- drink 10 to 12 glasses of water per day
