NUR 114 FINAL EXAM QUESTIONS WITH
ACTUAL SOLUTIONS!!!
Bipolar ccI ccdisorder cccharacterized ccby cc- ccAnswer ccat ccleast ccone ccweek cclong
ccmanic ccepisode ccthat ccresults ccin ccexcessive ccactivity. ccMostly ccmania ccwith
ccmix ccof ccdepression
Mania cccan ccbe cc- ccAnswer cceuphoric ccor ccdysphoric
Bipolar ccII ccdisorder cc- ccAnswer ccmostly ccdepression ccand cchypomania. ccEarly
ccages ccof cc20 ccand cc60 ccyears ccold. ccNot ccsevere ccenough ccto ccimpair
ccsocial/occupational cclife.
Cyclothymic ccdisorder cc- ccAnswer cccycle ccin ccand ccout ccof cchypomania cc(no
ccdelusions ccand cchallucinations) ccand ccdepression. ccTwo ccyears ccfor ccan ccadult,
cc1 ccyear ccfor cca ccchild
Bipolar ccII ccdisorders ccare ccmore cccommon cc- ccAnswer ccamong ccfemales
More ccthan cchalf ccthe ccpeople ccwith ccbipolar ccdisorder cchave cc- ccAnswer cchave
ccanother ccpsychiatric ccdisorder, ccmost ccbeing ccpanic ccattacks, ccsocial ccphobia,
ccetc.
Bipolar ccdisorders cchave cca ccstrong cc- ccAnswer ccheritability
Diathesis ccstress ccmodel cc- ccAnswer ccgenetic ccpredisposition ccor ccchemical
ccimbalance ccmay ccnever ccexperience ccsymptoms, ccuntil ccan ccevent cctriggers ccthe
ccdisorder.
Bipolar ccdisorder ccmay ccbe ccmore cccommon ccin cc- ccAnswer ccupper
ccsocioeconomic ccclasses
For ccBipolar, ccEarly ccdiagnosis ccand cctreatment ccis cckey ccin cc- ccAnswer
ccpreventing ccsuicide ccattempts, ccalcohol/substance ccabuse, ccmarital/work
ccproblems, ccetc.
Mania cccharacteristics cc- ccAnswer cc○ ccMood cc- cchighly ccunstable. ccMay cclaugh
ccor ccjoke ccor ccspeak ccin cca cccontinuous ccstream. ccMood cccan ccquickly ccchange
ccto ccirritation ccor ccanger. ccPatients cchave cchigh ccself ccconfidence ccand ccknow
ccno ccstrangers. ccExcessive ccspending, ccelaborate ccschemes.
,○ ccBehavior- ccconstant ccactivity ccand ccreduced ccneed ccfor ccsleep ccprevent
ccproper ccrest. ccNon ccstop ccphysical ccactivity cccan cclead ccto ccphysical
ccexhaustion ccand ccdeath ccif ccnot cctreated; ccthis ccis ccan ccEMERGENCY! ccAct
ccon ccimpulses.
○ ccThought ccprocesses ccand ccspeech ccpatterns- ccflight ccof ccideas ccis cccontinuous
ccflow ccof ccaccelerated ccspeech- ccchange ccin cctopic ccand ccplays ccon ccword.
ccSpeech ccis ccusually ccloud, ccvulgar ccand ccsexua. ccClang ccassociations ccare
ccstringing ccwords cctogether ccbased ccon cctheir ccrhyming ccsounds.
For ccMania, ccAlways ccassess ccif ccthe ccpatient ccis cc- ccAnswer cca ccdanger ccto
ccself ccor ccothers
With ccpeople ccwith ccmania, ccnurses ccneed ccto cc- ccAnswer ccSET ccLIMITS!
ccConsistency ccis cckey ccamong ccstaff ccif cclimit ccsetting ccis ccto ccbe cccarried ccout
ccconsistently.
Big ccdiagnosis ccfor ccmania ccis cc- ccAnswer ccRISK ccFOR ccINJURY
Acute ccphase cc- ccAnswer ccprimary ccoutcome ccis ccinjury ccprevention- ccstabilizing
ccthe ccpatient cc(hydrating, ccmaintaining cccardiac ccstatus, ccgetting ccenough ccsleep
ccand ccrest)
Continuation ccphase cc- ccAnswer ccfocuses ccon ccadhering ccto ccthe ccmedication
ccregimen ccand ccpreventing ccrelapse
Maintenance cctherapy cc- ccAnswer ccfocuses ccon ccrelapse ccprevention ccand
cclimitation ccof ccfurther ccepisodes
Meds ccto ccuse ccduring ccacute ccphase cc- ccAnswer ccuse ccLithium ccand ccLamictal
ccare ccthe ccfirst ccline ccof cctreatment ccfor ccsomeone ccwith ccbipolar ccdisorder
Lithium cc- ccAnswer ccnaturally ccoccurring ccsalt ccin ccthe ccbody- cceffective ccin cctx
ccof ccbipolar ccI ccdisorder- ccstart cclow ccand ccgo ccslow- cctakes ccabout cc10-21
ccdays ccto ccbe cceffective- ccmust ccreach cctherapeutic cclevel ccto ccbe cceffective cc(7-
14 ccdays)- cc0.4-1.3 ccmEq/L-levels ccshould ccnot ccexceed cc1.5 cc(considered
cctoxic)- ccShould ccbe cctaken cc5 ccdays ccafter ccbeginning cclithium cctherapy- ccafter
cctherapeutic cclevels ccare ccreached, cccheck ccevery ccmonth- ccafter cc6 ccmonths ccof
ccstability, cclevels ccshould ccbe ccchecked ccevery cc3 ccmonths. ccRisks ccare
cchypothyroidism ccand ccimpairment ccof ccthe cckidneys. ccBe ccsure ccpatients ccknow
ccthey ccneed ccto cccontinually cctake ccmedication. ccIF ccDIARRHEA, ccVOMITING
ccOR ccSWEATING ccOCCURS ccSTOP ccLITHIUM ccAND ccCONTACT ccYOUR
ccPHYSICIAN. ccTake ccwith ccmeal, ccdo ccnot cctake ccwith ccdiuretics.
Anticonvulsant ccdrugs cc- ccAnswer cceffective ccat ccdiminishing ccimpulsive ccand
ccaggressive ccbehaviors ccin ccpts ccwho ccare ccnot ccpsychotic- ccValproate
cc(Depakote)- ccmonitor ccliver ccfunction ccand ccplatelet cccount
, Antianxiety ccdrugs cc- ccAnswer ccshould ccbe ccavoided ccin ccpatients ccwith cch/o
ccsubstance ccabuse. ccClonazepam cc(Klonopin) ccand ccLorazepam cc(Ativan)
ECT cc- ccAnswer cccan ccbe ccused ccto ccsubdue ccmanic ccbehavior ccand ccsevere
ccdepression- ccside cceffect ccis ccmemory ccloss
induces cca ccseizure cc- ccpatient ccwill cccomplain ccabout cca cch/a, ccand ccmay ccbe
ccconfused ccor ccdisoriented ccfor ccseveral cchours.
SECLUSION ccAND ccRESTRAINTS ccARE cc- ccAnswer ccNEVER ccTO ccBE ccUSED
ccAS ccPUNISHMENT
If cca ccpatient ccis ccsecluded cc- ccAnswer cccheck ccevery cc15 ccminutes, ccoffer ccfood
ccand ccfluids ccevery cc30 ccminutes
Major ccdepressive ccdisorder cc- ccAnswer ccpersistent ccdepressed ccmood cclasting
cclonger ccthan cc2 ccweeks cc
○ ccAccompanied ccby cca cclack ccof ccinterest ccin ccprevious ccpleasurable ccactivity
cc(anhedonia), ccfatigue, ccsleep ccdisturbances, ccchanges ccin ccappetite, ccfeelings ccof
cchopelessness ccor ccworthlessness. cc
○ ccComplain ccof ccproblems ccwith ccfamily ccand ccfriends, ccinability ccto ccconcentrate
ccand ccmake ccdecisions, ccpsychomotor ccagitation cc(restless, ccfidgety, ccwringing ccof
cchands). ccCan ccbe ccpreoccupied ccwith ccdeath
Terminal ccinsomnia cc(early ccmorning ccawakening) cc- ccAnswer ccis cca ccred ccflag
ccfor ccdepression
Disruptive ccmood ccdysregulation ccdisorder cc- ccAnswer ccin ccchildren ccb/w ccthe
ccages ccof cc6 ccand cc18- ccfrequent cctemper cctantrums ccresulting ccin ccverbal ccor
ccbehavioral ccoutbursts.
Dysthymic ccdisorders cc- ccAnswer ccfeelings ccof ccdepression ccconsistently ccfor ccat
ccleast cc2 ccyears
Premenstrual ccdysphoric ccdisorder cc- ccAnswer ccoccurs ccduring ccweek ccprior ccto
ccmenstrual cccycle- ccsx ccsimilar ccto ccmajor ccdepression ccand ccinterfere ccwith
ccperson's cclife.
Depressive ccdisorder ccassociate ccwith ccanother ccmedical cccondition cc- ccAnswer
ccParkinson's, cckidney ccfailure, ccetc.
If ccdepression ccoccurs ccin ccchildhood ccor ccadolescence cc- ccAnswer ccrecurrence
ccis cchigh
ACTUAL SOLUTIONS!!!
Bipolar ccI ccdisorder cccharacterized ccby cc- ccAnswer ccat ccleast ccone ccweek cclong
ccmanic ccepisode ccthat ccresults ccin ccexcessive ccactivity. ccMostly ccmania ccwith
ccmix ccof ccdepression
Mania cccan ccbe cc- ccAnswer cceuphoric ccor ccdysphoric
Bipolar ccII ccdisorder cc- ccAnswer ccmostly ccdepression ccand cchypomania. ccEarly
ccages ccof cc20 ccand cc60 ccyears ccold. ccNot ccsevere ccenough ccto ccimpair
ccsocial/occupational cclife.
Cyclothymic ccdisorder cc- ccAnswer cccycle ccin ccand ccout ccof cchypomania cc(no
ccdelusions ccand cchallucinations) ccand ccdepression. ccTwo ccyears ccfor ccan ccadult,
cc1 ccyear ccfor cca ccchild
Bipolar ccII ccdisorders ccare ccmore cccommon cc- ccAnswer ccamong ccfemales
More ccthan cchalf ccthe ccpeople ccwith ccbipolar ccdisorder cchave cc- ccAnswer cchave
ccanother ccpsychiatric ccdisorder, ccmost ccbeing ccpanic ccattacks, ccsocial ccphobia,
ccetc.
Bipolar ccdisorders cchave cca ccstrong cc- ccAnswer ccheritability
Diathesis ccstress ccmodel cc- ccAnswer ccgenetic ccpredisposition ccor ccchemical
ccimbalance ccmay ccnever ccexperience ccsymptoms, ccuntil ccan ccevent cctriggers ccthe
ccdisorder.
Bipolar ccdisorder ccmay ccbe ccmore cccommon ccin cc- ccAnswer ccupper
ccsocioeconomic ccclasses
For ccBipolar, ccEarly ccdiagnosis ccand cctreatment ccis cckey ccin cc- ccAnswer
ccpreventing ccsuicide ccattempts, ccalcohol/substance ccabuse, ccmarital/work
ccproblems, ccetc.
Mania cccharacteristics cc- ccAnswer cc○ ccMood cc- cchighly ccunstable. ccMay cclaugh
ccor ccjoke ccor ccspeak ccin cca cccontinuous ccstream. ccMood cccan ccquickly ccchange
ccto ccirritation ccor ccanger. ccPatients cchave cchigh ccself ccconfidence ccand ccknow
ccno ccstrangers. ccExcessive ccspending, ccelaborate ccschemes.
,○ ccBehavior- ccconstant ccactivity ccand ccreduced ccneed ccfor ccsleep ccprevent
ccproper ccrest. ccNon ccstop ccphysical ccactivity cccan cclead ccto ccphysical
ccexhaustion ccand ccdeath ccif ccnot cctreated; ccthis ccis ccan ccEMERGENCY! ccAct
ccon ccimpulses.
○ ccThought ccprocesses ccand ccspeech ccpatterns- ccflight ccof ccideas ccis cccontinuous
ccflow ccof ccaccelerated ccspeech- ccchange ccin cctopic ccand ccplays ccon ccword.
ccSpeech ccis ccusually ccloud, ccvulgar ccand ccsexua. ccClang ccassociations ccare
ccstringing ccwords cctogether ccbased ccon cctheir ccrhyming ccsounds.
For ccMania, ccAlways ccassess ccif ccthe ccpatient ccis cc- ccAnswer cca ccdanger ccto
ccself ccor ccothers
With ccpeople ccwith ccmania, ccnurses ccneed ccto cc- ccAnswer ccSET ccLIMITS!
ccConsistency ccis cckey ccamong ccstaff ccif cclimit ccsetting ccis ccto ccbe cccarried ccout
ccconsistently.
Big ccdiagnosis ccfor ccmania ccis cc- ccAnswer ccRISK ccFOR ccINJURY
Acute ccphase cc- ccAnswer ccprimary ccoutcome ccis ccinjury ccprevention- ccstabilizing
ccthe ccpatient cc(hydrating, ccmaintaining cccardiac ccstatus, ccgetting ccenough ccsleep
ccand ccrest)
Continuation ccphase cc- ccAnswer ccfocuses ccon ccadhering ccto ccthe ccmedication
ccregimen ccand ccpreventing ccrelapse
Maintenance cctherapy cc- ccAnswer ccfocuses ccon ccrelapse ccprevention ccand
cclimitation ccof ccfurther ccepisodes
Meds ccto ccuse ccduring ccacute ccphase cc- ccAnswer ccuse ccLithium ccand ccLamictal
ccare ccthe ccfirst ccline ccof cctreatment ccfor ccsomeone ccwith ccbipolar ccdisorder
Lithium cc- ccAnswer ccnaturally ccoccurring ccsalt ccin ccthe ccbody- cceffective ccin cctx
ccof ccbipolar ccI ccdisorder- ccstart cclow ccand ccgo ccslow- cctakes ccabout cc10-21
ccdays ccto ccbe cceffective- ccmust ccreach cctherapeutic cclevel ccto ccbe cceffective cc(7-
14 ccdays)- cc0.4-1.3 ccmEq/L-levels ccshould ccnot ccexceed cc1.5 cc(considered
cctoxic)- ccShould ccbe cctaken cc5 ccdays ccafter ccbeginning cclithium cctherapy- ccafter
cctherapeutic cclevels ccare ccreached, cccheck ccevery ccmonth- ccafter cc6 ccmonths ccof
ccstability, cclevels ccshould ccbe ccchecked ccevery cc3 ccmonths. ccRisks ccare
cchypothyroidism ccand ccimpairment ccof ccthe cckidneys. ccBe ccsure ccpatients ccknow
ccthey ccneed ccto cccontinually cctake ccmedication. ccIF ccDIARRHEA, ccVOMITING
ccOR ccSWEATING ccOCCURS ccSTOP ccLITHIUM ccAND ccCONTACT ccYOUR
ccPHYSICIAN. ccTake ccwith ccmeal, ccdo ccnot cctake ccwith ccdiuretics.
Anticonvulsant ccdrugs cc- ccAnswer cceffective ccat ccdiminishing ccimpulsive ccand
ccaggressive ccbehaviors ccin ccpts ccwho ccare ccnot ccpsychotic- ccValproate
cc(Depakote)- ccmonitor ccliver ccfunction ccand ccplatelet cccount
, Antianxiety ccdrugs cc- ccAnswer ccshould ccbe ccavoided ccin ccpatients ccwith cch/o
ccsubstance ccabuse. ccClonazepam cc(Klonopin) ccand ccLorazepam cc(Ativan)
ECT cc- ccAnswer cccan ccbe ccused ccto ccsubdue ccmanic ccbehavior ccand ccsevere
ccdepression- ccside cceffect ccis ccmemory ccloss
induces cca ccseizure cc- ccpatient ccwill cccomplain ccabout cca cch/a, ccand ccmay ccbe
ccconfused ccor ccdisoriented ccfor ccseveral cchours.
SECLUSION ccAND ccRESTRAINTS ccARE cc- ccAnswer ccNEVER ccTO ccBE ccUSED
ccAS ccPUNISHMENT
If cca ccpatient ccis ccsecluded cc- ccAnswer cccheck ccevery cc15 ccminutes, ccoffer ccfood
ccand ccfluids ccevery cc30 ccminutes
Major ccdepressive ccdisorder cc- ccAnswer ccpersistent ccdepressed ccmood cclasting
cclonger ccthan cc2 ccweeks cc
○ ccAccompanied ccby cca cclack ccof ccinterest ccin ccprevious ccpleasurable ccactivity
cc(anhedonia), ccfatigue, ccsleep ccdisturbances, ccchanges ccin ccappetite, ccfeelings ccof
cchopelessness ccor ccworthlessness. cc
○ ccComplain ccof ccproblems ccwith ccfamily ccand ccfriends, ccinability ccto ccconcentrate
ccand ccmake ccdecisions, ccpsychomotor ccagitation cc(restless, ccfidgety, ccwringing ccof
cchands). ccCan ccbe ccpreoccupied ccwith ccdeath
Terminal ccinsomnia cc(early ccmorning ccawakening) cc- ccAnswer ccis cca ccred ccflag
ccfor ccdepression
Disruptive ccmood ccdysregulation ccdisorder cc- ccAnswer ccin ccchildren ccb/w ccthe
ccages ccof cc6 ccand cc18- ccfrequent cctemper cctantrums ccresulting ccin ccverbal ccor
ccbehavioral ccoutbursts.
Dysthymic ccdisorders cc- ccAnswer ccfeelings ccof ccdepression ccconsistently ccfor ccat
ccleast cc2 ccyears
Premenstrual ccdysphoric ccdisorder cc- ccAnswer ccoccurs ccduring ccweek ccprior ccto
ccmenstrual cccycle- ccsx ccsimilar ccto ccmajor ccdepression ccand ccinterfere ccwith
ccperson's cclife.
Depressive ccdisorder ccassociate ccwith ccanother ccmedical cccondition cc- ccAnswer
ccParkinson's, cckidney ccfailure, ccetc.
If ccdepression ccoccurs ccin ccchildhood ccor ccadolescence cc- ccAnswer ccrecurrence
ccis cchigh
