Nurs 663 Exam 2025 Questions and Answers
Patient comes in with symptoms of mania followed by periods of depression; what is it? -
ANS bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of depression,
what is it? - ANS bipolar 2
how many symptoms of mania must you have to have "full" mania? - ANS seven of thirteen
what is the difference between mania and hypomania? - ANS hypomania has less severe
symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia - ANS 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 - ANS a form of depression that is not severe enough to be diagnosed as major
depression
"eeyore" always kind of down and depressed
SIADH - ANS syndrome of inappropriate antidiuretic hormone
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,will retain water
hyponatremia will be observed
what is something you should watch out for if a patient is on multiple antidepressants? -
ANS SIADH
what medical problems mimic mood disorders? - ANS hypothyroid- depression
hyperthyroid- mania
involuntary admission - ANS hurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) - ANS 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? - ANS carbamazepine,
lithium, valproic acid
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Mood Disorder Questionnaire - ANS Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored - ANS 1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - ANS assessment that evaluates the degree of depression
What is the DSM criteria for Major Depressive Disorder? - ANS **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? - ANS episodic: symptoms dissipate over time
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Patient comes in with symptoms of mania followed by periods of depression; what is it? -
ANS bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of depression,
what is it? - ANS bipolar 2
how many symptoms of mania must you have to have "full" mania? - ANS seven of thirteen
what is the difference between mania and hypomania? - ANS hypomania has less severe
symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia - ANS 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 - ANS a form of depression that is not severe enough to be diagnosed as major
depression
"eeyore" always kind of down and depressed
SIADH - ANS syndrome of inappropriate antidiuretic hormone
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,will retain water
hyponatremia will be observed
what is something you should watch out for if a patient is on multiple antidepressants? -
ANS SIADH
what medical problems mimic mood disorders? - ANS hypothyroid- depression
hyperthyroid- mania
involuntary admission - ANS hurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) - ANS 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? - ANS carbamazepine,
lithium, valproic acid
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Mood Disorder Questionnaire - ANS Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored - ANS 1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - ANS assessment that evaluates the degree of depression
What is the DSM criteria for Major Depressive Disorder? - ANS **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? - ANS episodic: symptoms dissipate over time
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
