NURS 663- Exam 1 Study Questions and
Answers 2025 Graded A+
Patient comes in with symptoms of mania followed by periods of depression; what is it?
-Correct Answer ✔bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it? -Correct Answer ✔bipolar 2
how many symptoms of mania must you have to have "full" mania? -Correct Answer
✔seven of thirteen
what is the difference between mania and hypomania? -Correct Answer ✔hypomania
has less severe symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia -Correct 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 -Correct Answer ✔a form of depression that is not severe enough to be
diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH -Correct Answer ✔syndrome of inappropriate antidiuretic hormone
Nurs 663
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will retain water
hyponatremia will be observed
what is something you should watch out for if a patient is on multiple antidepressants? -
Correct Answer ✔SIADH
what medical problems mimic mood disorders? -Correct Answer ✔hypothyroid-
depression
hyperthyroid- mania
involuntary admission -Correct Answer ✔hurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) -Correct Answer ✔mood stabilizer
indication: bipolar disorder
major side effects:
CYP 450: (inducer- speeds up metabolism of other drugs)
patient education:
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what 3 medications must have blood draws associated with them? -Correct Answer
✔carbamazepine, lithium, valproic acid
Mood Disorder Questionnaire -Correct Answer ✔Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored -Correct Answer ✔1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 -Correct Answer ✔assessment that evaluates the degree of depression
What is the DSM criteria for Major Depressive Disorder? -Correct 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
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