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NURS 400 EXAM 2 – Questions With Accurate Answers

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Terms in this set (95)



How is bipolar 1 characterized? Periods of mania and depression (only disorder with
true mania)


What is rapid cycling? no normal frame of mind; may have at least four
mood episodes in a 12 month period


How long does mania have to last to At least 1 week
be diagnosed with bipolar 1?


When will you see psychosis with It is seen with sleep deprivation - not a part of the
mania? disorder; however has many symptoms


What are grandiose delusions? when an individual believes that he or she has
exceptional abilities, wealth, or fame


What are persecutory delusions? the belief that one is being watched, ridiculed,
harmed, or plotted against


What is anosognosia? AKA lack of insight. It impairs a person's ability to
understand and perceive his or her illness


What defines bipolar 2? Experiences at least 1 hypomanic episode and at
least 1 major depressive episode.


What is hypomania defined as? Excessive energy and activity for at least 4 days


How is cyclothymic disorder Through exclusion - It must persist for 2 years in
diagnosed? adults and 1 year in adolescents

, What is anhedonia? inability to experience pleasure


Why must we use caution when Because if the patient is bipolar, taking an
prescribing an antidepressant? antidepressant will put them in mania


What is disruptive mood dysregulation Patients who have this disorder exhibit recurrent
disorder? temper outbursts that are severe and do not
correlate with the situation
This disorder was created to avoid the excessive
diagnosis of bipolar in children


What are brain structure risk factors Dysfunction in the prefrontal cortical region
for bipolar disorder? (personality), dysfunction in the hippocampus
(memory), and dysfunction in the amygdala (memory,
decision-making, emotion)


What is one of the most common Hypothyroidism
dysfunctions in bipolar disorder?


What is the first choice drug for Lithium
extreme agitation with bipolar?


What is the gold standard tx for Lithium
Bipolar Disorder?


What is the indication for acute mood stabilizer; treats both mania and depression
treatment with lithium?


What is the toxic level of Lithium? 1.5 mEq/L or higher


What toxic level of lithium is consider 3.5 mEq/L or higher
and medical emergency?


What are the contraindications for Cardiac issues, renal failure, thyroid issues, brain
Lithium? damage, myasthenia gravis,
pregnancy/breastfeeding

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