NURS 663 EXAM 1 (PART 1) REVIEW
QUESTIONS WITH CORRECT ANSWERS
Patient comes in with symptoms of mania followed by periods of depression; what is it?
- answer-bipolar 1
Patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it? - answer-bipolar 2
How many symptoms of mania must you have to have "full" mania? - answer-seven of
thirteen
What is the difference between mania and hypomania? - answer-hypomania has less
severe symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia - answer-a disorder that consists of mood swings from moderate
depression to hypomania and lasts two years or more
Moods are always irregular- not ever to a full extreme
Dysthymia - answer-a form of depression that is not severe enough to be diagnosed as
major depression
"eeyore" always kind of down and depressed
Siadh - answer-syndrome of inappropriate antidiuretic hormone
Will retain water
Hyponatremia will be observed
What is something you should watch out for if a patient is on multiple antidepressants? -
answer-siadh
What medical problems mimic mood disorders? - answer-hypothyroid- depression
Hyperthyroid- mania
Involuntary admission - answer-hurt yourself
Hurt someone else
Inability to care for self
Carbamazepine (tegretol) - answer-mood stabilizer
Indication: bipolar disorder
, Major side effects:
Cyp 450: (inducer- speeds up metabolism of other drugs)
Patient education:
What 3 medications must have blood draws associated with them? - answer-
carbamazepine, lithium, valproic acid
Mood disorder questionnaire - answer-screens for bipolar disorder
7+ is a positive screening
4-5 might be hypomania
How is the phq-9 scored - answer-1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
Phq-9 - answer-assessment that evaluates the degree of depression
What is the dsm criteria for major depressive disorder? - answer-**no history of mania,
hypo, or mixed symptoms
Symptoms >2 weeks
Must have: sadness, anhedonia (loss pleasure/interest)
4 of following: - appetite/sleep changes, psychomotor retardation, lack of energy,
guilt/worthlessness, issues w/ concentration, thoughts suicide/death
What are the "frequency" modifiers for mdd? - answer-episodic: symptoms dissipate
over time
Recurrent: likely to reappear in future
Subclinical: sadness + 3 symptoms > 10 days (full criteria not met)
How is the severity of depression rated? - answer-- mild: no suicidal thoughts/death
wishes
- moderate: some thoughts of death/self-harm
- severe: plan/attempted
QUESTIONS WITH CORRECT ANSWERS
Patient comes in with symptoms of mania followed by periods of depression; what is it?
- answer-bipolar 1
Patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it? - answer-bipolar 2
How many symptoms of mania must you have to have "full" mania? - answer-seven of
thirteen
What is the difference between mania and hypomania? - answer-hypomania has less
severe symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia - answer-a disorder that consists of mood swings from moderate
depression to hypomania and lasts two years or more
Moods are always irregular- not ever to a full extreme
Dysthymia - answer-a form of depression that is not severe enough to be diagnosed as
major depression
"eeyore" always kind of down and depressed
Siadh - answer-syndrome of inappropriate antidiuretic hormone
Will retain water
Hyponatremia will be observed
What is something you should watch out for if a patient is on multiple antidepressants? -
answer-siadh
What medical problems mimic mood disorders? - answer-hypothyroid- depression
Hyperthyroid- mania
Involuntary admission - answer-hurt yourself
Hurt someone else
Inability to care for self
Carbamazepine (tegretol) - answer-mood stabilizer
Indication: bipolar disorder
, Major side effects:
Cyp 450: (inducer- speeds up metabolism of other drugs)
Patient education:
What 3 medications must have blood draws associated with them? - answer-
carbamazepine, lithium, valproic acid
Mood disorder questionnaire - answer-screens for bipolar disorder
7+ is a positive screening
4-5 might be hypomania
How is the phq-9 scored - answer-1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
Phq-9 - answer-assessment that evaluates the degree of depression
What is the dsm criteria for major depressive disorder? - answer-**no history of mania,
hypo, or mixed symptoms
Symptoms >2 weeks
Must have: sadness, anhedonia (loss pleasure/interest)
4 of following: - appetite/sleep changes, psychomotor retardation, lack of energy,
guilt/worthlessness, issues w/ concentration, thoughts suicide/death
What are the "frequency" modifiers for mdd? - answer-episodic: symptoms dissipate
over time
Recurrent: likely to reappear in future
Subclinical: sadness + 3 symptoms > 10 days (full criteria not met)
How is the severity of depression rated? - answer-- mild: no suicidal thoughts/death
wishes
- moderate: some thoughts of death/self-harm
- severe: plan/attempted
