BNKN601 EXAM UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. Aetiology of bipolar disorder
Answer:
- Neurochemical factors
- Hormonal systems
- Circadian Rhythms
Question:
2. Aetiology of Depression
Answer:
- Genetic Factors,
- Neurochemical factors, hormonal systems, circadian rhythms and the immune
system
- Sex differences (more likely in women)
Question:
3. Anhedonia
Answer:
Marked diminished interest or pleasure in all, or almost all, activities most of the
day, nearly every day
Question:
4. Affect
Answer:
Observable mood (subjective)
Question:
5. How the patient feels (objective)
Answer:
Mood:
Question:
6. Dysthymic:
Answer:
Lowered mood that is chronic
,Question:
7. Labile:
Answer:
Rapidly changing emotional state
Question:
8. Complete the DSM 5 criteria for a Major Depressive
Disorder.
Answer:
1. Depressed mood
2. Loss of interest or pleasure
3. Significant weight loss or gain
4. Insomnia or hypersomnia nearly every day
5. Psychomotor agitation or retardation nearly every day
6. Fatigue or loss of energy nearly every day
7. Feelings of worthlessness or excessive or inappropriate guilt nearly every day
8. Diminished ability to think, concentrate or indecisiveness nearly every day
9. Recurrent thoughts of death or suicidal ideation
Question:
9. Bipolar Disorder
Answer:
... is characterised by a cycling between depression and normal mood and mania.
This may occur over days to weeks to months
, Question:
10. Complete the DSM 5 criteria for a manic disorder.
Answer:
A. A distinct period of abnormally and persistently elevated, expansive or irritable
mood and abnormally and persistently increased goal-directed activity or energy,
lasting at least 1 week and present most of the day, nearly every day.
B. During the period of mood disturbance and increased energy or activity, 3 or
more of the following symptoms (4 if mood only irritable) are present to a
significant degree and represent noticeable change from usual behaviour
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep
3. More talkative than usual or pressure to keep talking
4.Flight of ideas or subjective experience that thoughts are racing
5. Distractibility
6. Increase in goal directed activity, has plans for executing plans (e.g. social,
work, school or sexual activity)
7. Excessive involvement in pleasurable activities that may have negative
consequences (e.g. shopping, sexual or business activities)
C. The mood disturbance is severe enough to cause marked impairment of
functioning or to necessitate hospitalisation to prevent harm to self or others
D. The episode is not due to a substance or medical condition.
Question:
11. Interventions for acute mania
Answer:
- Give firm, simple directions and comments.
- Limit setting may be required
- Never reinforce hallucinations, delusions or irrational beliefs
- Reinforce reality
- Do not engage in arguments or debates about ward rules
Question:
12. Interventions for major depression
Answer:
- Express hope
- Focus on the clients strengths
- Make positive decisions for the client if they are unwilling to make decisions for
themselves
- Spend time with withdrawn clients
CORRECT ANSWERS
Question:
1. Aetiology of bipolar disorder
Answer:
- Neurochemical factors
- Hormonal systems
- Circadian Rhythms
Question:
2. Aetiology of Depression
Answer:
- Genetic Factors,
- Neurochemical factors, hormonal systems, circadian rhythms and the immune
system
- Sex differences (more likely in women)
Question:
3. Anhedonia
Answer:
Marked diminished interest or pleasure in all, or almost all, activities most of the
day, nearly every day
Question:
4. Affect
Answer:
Observable mood (subjective)
Question:
5. How the patient feels (objective)
Answer:
Mood:
Question:
6. Dysthymic:
Answer:
Lowered mood that is chronic
,Question:
7. Labile:
Answer:
Rapidly changing emotional state
Question:
8. Complete the DSM 5 criteria for a Major Depressive
Disorder.
Answer:
1. Depressed mood
2. Loss of interest or pleasure
3. Significant weight loss or gain
4. Insomnia or hypersomnia nearly every day
5. Psychomotor agitation or retardation nearly every day
6. Fatigue or loss of energy nearly every day
7. Feelings of worthlessness or excessive or inappropriate guilt nearly every day
8. Diminished ability to think, concentrate or indecisiveness nearly every day
9. Recurrent thoughts of death or suicidal ideation
Question:
9. Bipolar Disorder
Answer:
... is characterised by a cycling between depression and normal mood and mania.
This may occur over days to weeks to months
, Question:
10. Complete the DSM 5 criteria for a manic disorder.
Answer:
A. A distinct period of abnormally and persistently elevated, expansive or irritable
mood and abnormally and persistently increased goal-directed activity or energy,
lasting at least 1 week and present most of the day, nearly every day.
B. During the period of mood disturbance and increased energy or activity, 3 or
more of the following symptoms (4 if mood only irritable) are present to a
significant degree and represent noticeable change from usual behaviour
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep
3. More talkative than usual or pressure to keep talking
4.Flight of ideas or subjective experience that thoughts are racing
5. Distractibility
6. Increase in goal directed activity, has plans for executing plans (e.g. social,
work, school or sexual activity)
7. Excessive involvement in pleasurable activities that may have negative
consequences (e.g. shopping, sexual or business activities)
C. The mood disturbance is severe enough to cause marked impairment of
functioning or to necessitate hospitalisation to prevent harm to self or others
D. The episode is not due to a substance or medical condition.
Question:
11. Interventions for acute mania
Answer:
- Give firm, simple directions and comments.
- Limit setting may be required
- Never reinforce hallucinations, delusions or irrational beliefs
- Reinforce reality
- Do not engage in arguments or debates about ward rules
Question:
12. Interventions for major depression
Answer:
- Express hope
- Focus on the clients strengths
- Make positive decisions for the client if they are unwilling to make decisions for
themselves
- Spend time with withdrawn clients
