Page 1 of 204
FINAL EXAM: NR546 / NR 546 ADVANCED
PHARMACOLOGY PSYCHOPHARMACOLOGY FOR THE
PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER
EXAM (LATEST UPDATES STUDY BUNDLE
WITH COMPLETE SOLUTIONS) | 100% CORRECT |
GRADE A - CHAMBERLAIN
Pharmacologic Treatment of Bipolar Disorder
.....ANSWER.....Lithium
Anticonvulsants
Second generation antipsychotics
Unipolar depression .....ANSWER.....major depressive disorder
(MDD)
one of the most common mental disorders
,Page 2 of 204
-Approximately 7.1% of adults in the U.S. had episode in last
year, prevalence highest (13.1%) among individuals aged 18-
25
S/S
-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.
Bipolar disorder (BD) .....ANSWER.....Chronic condition
characterized by extreme fluctuations in mood, energy, and
ability to function
,Page 3 of 204
-Moods may be manic, hypomanic, or depressed and may
include mixed mood or psychotic features
-many have only experienced only 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
mania .....ANSWER.....characterized by a persistently elevated,
expansive, or irritable mood. Related symptoms may include
inflated self-esteem, increased goal-directed activity or energy,
including grandiosity, decreased need for sleep, excessive
talkativeness, racing thoughts, flight of ideas (FOI), distractibility,
psychomotor agitation, and a propensity to be involved in high-
, Page 4 of 204
risk activities. Mania leads to significant functional impairment
and may include psychotic features or necessitate hospitalization
Bipolar Type I: .....ANSWER.....requires at least one episode of
mania for at least one week (or any duration if hospitalization
due to symptoms is required)
Bipolar Type II: .....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 seven.
-Hypomanic symptoms are not of sufficient duration or severity to
cause significant functional impairment, psychosis, or
hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are reluctant to
report these symptoms, making bipolar more difficult to diagnose
if the client presents in the depression phase.
FINAL EXAM: NR546 / NR 546 ADVANCED
PHARMACOLOGY PSYCHOPHARMACOLOGY FOR THE
PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER
EXAM (LATEST UPDATES STUDY BUNDLE
WITH COMPLETE SOLUTIONS) | 100% CORRECT |
GRADE A - CHAMBERLAIN
Pharmacologic Treatment of Bipolar Disorder
.....ANSWER.....Lithium
Anticonvulsants
Second generation antipsychotics
Unipolar depression .....ANSWER.....major depressive disorder
(MDD)
one of the most common mental disorders
,Page 2 of 204
-Approximately 7.1% of adults in the U.S. had episode in last
year, prevalence highest (13.1%) among individuals aged 18-
25
S/S
-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.
Bipolar disorder (BD) .....ANSWER.....Chronic condition
characterized by extreme fluctuations in mood, energy, and
ability to function
,Page 3 of 204
-Moods may be manic, hypomanic, or depressed and may
include mixed mood or psychotic features
-many have only experienced only 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
mania .....ANSWER.....characterized by a persistently elevated,
expansive, or irritable mood. Related symptoms may include
inflated self-esteem, increased goal-directed activity or energy,
including grandiosity, decreased need for sleep, excessive
talkativeness, racing thoughts, flight of ideas (FOI), distractibility,
psychomotor agitation, and a propensity to be involved in high-
, Page 4 of 204
risk activities. Mania leads to significant functional impairment
and may include psychotic features or necessitate hospitalization
Bipolar Type I: .....ANSWER.....requires at least one episode of
mania for at least one week (or any duration if hospitalization
due to symptoms is required)
Bipolar Type II: .....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 seven.
-Hypomanic symptoms are not of sufficient duration or severity to
cause significant functional impairment, psychosis, or
hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are reluctant to
report these symptoms, making bipolar more difficult to diagnose
if the client presents in the depression phase.
