Maryville Nurs 663 Exam 1
2026 Exam Questions and
Answers | Already Graded A+
Lithium labs - ANSWER ✔✔level, NA, Ca, P, EKG, Creatinine,
Urinalysis, CBC, TSH
bipolar meds: depression - ANSWER ✔✔lurasidone (13+),
olanzapine + fluoxetine (10+)(symbyax)
bipolar acute and mixed mania - ANSWER ✔✔aripiprazole,
risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+)
classic mood stabilizers - ANSWER ✔✔Lamotrigine (excellent
medication to use), lithium, Depakote (avoid in females if possible due to
,PCOS and Pregnancy), Tegretol, Trileptal (no evidence for true Bipolar
disorder)
anti-depressants - ANSWER ✔✔class not used w/bipolar disorder
lithium - ANSWER ✔✔Anti-manic, antidepressant, anti-suicidal
Lithium side effects - ANSWER ✔✔Frequent urination, increased
thirst, weight gain, sedation
lithium toxicity - ANSWER ✔✔sudden onset tremors, N/V/D, muscle
weakness, slurred speech, confusion, seizures (slowing down, feel really
out of it)
Major Depressive Disorder Dx - ANSWER ✔✔5+ for at least a 2-
week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be irritability
in children & adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
5. Fatigue or loss of energy
, 6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness (don't
confuse with ADHD, address mood first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal
plan/intent: if hosp then 2 wk not req.
SLAP - ANSWER ✔✔Social supports; lethal; access to means; plan
and previous attempt
Suicide risk: IS PATH WARM - ANSWER ✔✔Ideation, substance
abuse, purpose to live gone; anxiety, trapped feeling; hopelessness, w/d
from soc supports, anger w/rage; reckless, dramatic moods
SIGECAPS - ANSWER ✔✔Sleep, Interest, Guilt, Energy,
Concentration, Appetite, Psychomotor, Suicide
bipolar vs unipolar: look at bipolar if - ANSWER ✔✔1. family hx: 1st
degree relatives
2. Substance use: chasing high or low
3. Response to SSRI: no resp to multiple tries or evidence of mania with
use (not diagnostic)
Bipolar I criteria - ANSWER ✔✔One manic episode required
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2026 Exam Questions and
Answers | Already Graded A+
Lithium labs - ANSWER ✔✔level, NA, Ca, P, EKG, Creatinine,
Urinalysis, CBC, TSH
bipolar meds: depression - ANSWER ✔✔lurasidone (13+),
olanzapine + fluoxetine (10+)(symbyax)
bipolar acute and mixed mania - ANSWER ✔✔aripiprazole,
risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+)
classic mood stabilizers - ANSWER ✔✔Lamotrigine (excellent
medication to use), lithium, Depakote (avoid in females if possible due to
,PCOS and Pregnancy), Tegretol, Trileptal (no evidence for true Bipolar
disorder)
anti-depressants - ANSWER ✔✔class not used w/bipolar disorder
lithium - ANSWER ✔✔Anti-manic, antidepressant, anti-suicidal
Lithium side effects - ANSWER ✔✔Frequent urination, increased
thirst, weight gain, sedation
lithium toxicity - ANSWER ✔✔sudden onset tremors, N/V/D, muscle
weakness, slurred speech, confusion, seizures (slowing down, feel really
out of it)
Major Depressive Disorder Dx - ANSWER ✔✔5+ for at least a 2-
week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be irritability
in children & adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
5. Fatigue or loss of energy
, 6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness (don't
confuse with ADHD, address mood first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal
plan/intent: if hosp then 2 wk not req.
SLAP - ANSWER ✔✔Social supports; lethal; access to means; plan
and previous attempt
Suicide risk: IS PATH WARM - ANSWER ✔✔Ideation, substance
abuse, purpose to live gone; anxiety, trapped feeling; hopelessness, w/d
from soc supports, anger w/rage; reckless, dramatic moods
SIGECAPS - ANSWER ✔✔Sleep, Interest, Guilt, Energy,
Concentration, Appetite, Psychomotor, Suicide
bipolar vs unipolar: look at bipolar if - ANSWER ✔✔1. family hx: 1st
degree relatives
2. Substance use: chasing high or low
3. Response to SSRI: no resp to multiple tries or evidence of mania with
use (not diagnostic)
Bipolar I criteria - ANSWER ✔✔One manic episode required
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
