Final Exam Study Pack: NR 546 Final Exam
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Comprehensive NR 546 Final Exam Guide
ALL QUESTIONS WITH ANSWERS
QUESTION Pharmacologic treatment of bipolar disorder?
Correct Answer: Lithium
Anticonvulsants
Second-generation antipsychotics
QUESTION Unipolar depression?
Correct Answer: Major depressive disorder (MDD), one of the most common
mental disorders
, Approximately 7.1% of adults in the U.S. had an episode in the last year,
prevalence highest (13.1%) among individuals aged 18–25
QUESTION Signs and symptoms of unipolar depression?
Correct Answer: Depressed mood
Loss of interest or pleasure in daily activities
Irritability
Withdrawal
Problems with sleep, eating, energy, concentration, or self-worth
Severe depression: may experience thoughts of suicide or psychotic symptoms
QUESTION Bipolar disorder (BD)?
Correct Answer: Chronic condition characterized by extreme fluctuations in
mood, energy, and ability to function
Moods may be manic, hypomanic, or depressed and may include mixed mood
or psychotic features
Many have only experienced one manic episode in their lifetime
Mood fluctuations may be separated by periods of high stability or may cycle
rapidly
Diagnosed when a client has one or more episodes of mania or hypomania
with a history of one or more major depressive episodes
High risk for suicide
QUESTION Mania?
Correct Answer: Characterized by a persistently elevated, expansive, or
irritable mood
Related symptoms: inflated self-esteem, increased goal-directed activity or
energy, grandiosity, decreased need for sleep, excessive talkativeness, racing
,thoughts, flight of ideas (FOI), distractibility, psychomotor agitation, involvement
in high-risk activities
Leads to significant functional impairment and may include psychotic features
or necessitate hospitalization
QUESTION Bipolar Type I?
Correct Answer: Requires at least one episode of mania for at least one week
(or any duration if hospitalization due to symptoms is required)
QUESTION Bipolar Type II?
Correct Answer: Diagnosis requires a current or past hypomanic episode and
a current or past major depressive episode
Symptoms last for at least 4 days but fewer than 7
Hypomanic symptoms are not severe enough to cause functional impairment,
psychosis, or hospitalization
Anger and irritability are common
Clients often enjoy elevated mood and may be reluctant to report symptoms,
making diagnosis harder if presenting in depression phase
QUESTION Cyclothymia?
Correct Answer: Chronic presentation of hypomanic and depressive
symptoms that do not meet diagnostic criteria for a major depressive or
manic/hypomanic episode
QUESTION If bipolar depression is mistaken for MDD?
Correct Answer: Antidepressant therapy may precipitate a manic episode or
induce rapid-cycling bipolar depression
, May contribute to increased incidence of death by suicide in children and
adults younger than 25
QUESTION Antidepressants in bipolar disorder should never be used as
________________.
Correct Answer: Monotherapy
Antidepressants should be combined with a mood stabilizer to prevent
hypomanic or manic episodes
QUESTION DA, NE dysfunction causes what mood-related symptoms?
Correct Answer: Decreased positive affect:
Depressed mood
Loss of joy, lack of interest
Loss of energy
Decreased alertness
Decreased self-confidence
Appetite changes
QUESTION 5HT, NE dysfunction causes what mood-related symptoms?
Correct Answer: Increased negative affect:
Depressed mood
Guilt
Fear/anxiety
Hostility
Irritability
Loneliness
Appetite changes