NURS 663 LATEST 2026 STUDY GUIDE QUESTIONS AND
ANSWERS GRADED A+
✔✔Bipolar II Disorder - ✔✔For diagnosis of this disorder it is necessary to meet the
following criteria for a current or past hypo manic episode and the following criteria for
occurring or past depressive episode.
✔✔Hypo manic episode criteria - ✔✔A. A distinct. Of abnormally or persistently
elevated, expansive, or irritable mood and abnormally and persistently increased activity
or energy, lasting at least four consecutive days and present most of the day, nearly
every day.
Be. During the period of mood disturbance and increase energy and activity, three or
more of the following symptoms have persisted for if the mood is only irritable.
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep; feels rested after only three hours of sleep
3. More talkative than usual or pressure to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility; attention too easily drawn to unimportant or irrelevant external stimuli,
as reported or observed.
6. Increase in goal directed activity; either socially, at work or school, or sexually, or
psycho motor agitation.
7. Excessive involvement in activities that have a high potential for painful
consequences example; in unrestrained fines freeze, sexual indiscretions, or foolish
business investments.
* The episode is not severe enough to cause marked impairment in social or
occupational functioning or to necessitate hospitalization. If there are psychotic features
the episode is by definition manic.
* The episode is not attributable to the physiological effects of a substance example a
drug of abuse, medication or another medical condition.
✔✔major depressive episode - ✔✔Five or more of the following symptoms have been
present during the same two week period and represent a change from previous
functioning, at least one of the symptoms is either a depressed mood or loss of interest
or pleasure.
✔✔Major depressive episode Symptoms - ✔✔1) depressed mood for the majority of
each day for at least *2 weeks*
2) *5+* of...
-- anhedonia
-- lack of motivation
-- less active, Psychomotor agitation/retardation
-- low self-esteem
-- daily fatigue, Insomnia or hypersomnia
-- abnormal eating habits; weight loss/gain
-- abnormal sleeping habits
-- lack of concentration
, -- daily guilt, Sense of worthlessness
-- suicidal thoughts
-- decreased academic performance Or ability to concentrate, indecisiveness
-- fewer friendships/social withdrawal
-- EXTREME CASES: psychotic symptoms (delusions, hallucinations)
3) Significant distress or impairment
✔✔Cyclothymic Disorder (Cyclothymia) - ✔✔for at least two years for adults and one
year for children and adolescents there have been numerous periods with hypo manic
symptoms that do not meet criteria for hypo manic episode in numerous periods of
depressive symptoms that do not meet criteria for a major depressive episode during
the above two year or one year. The hypomanic and depressive periods have been
present for at least half the time and the individual has not been without the symptoms
for more than two months at a time. Criteria for major depression, mania, or hypo manic
episode have never been met. The symptoms Are not better explained by
schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder,
or other specified or unspecified schizophrenia spectrum or other psychotic disorders.
The symptoms are not attributed to physiological effects of a substance or another
medical condition.
✔✔Dysthymic disorder or persistent depressive disorder (dysthymia) - ✔✔Full criteria of
major depressive episode have not been met. this disorder includes a depressed mood
for most of the day, for more days than not, as indicated by either subjective account or
observation by others, for at least two years. For children this may only last one year
and mood may be irritable. Two or more of the following symptoms are present; poor
appetite or over eating, insomnia or hypersomnia, low energy or fatigue, low self-
esteem, poor concentration or difficulty making decisions, feelings of hopelessness.
During the period of time of the disturbance the individual has never been without
symptoms for more than two months at a time. There has never been a manic episode
or a hypo manic episode and the symptoms do not meet cyclothymic disorder. The
symptoms cause clinically significant distress or impairment in social, occupational or
other important areas of functioning.
✔✔Major depressive disorder - ✔✔in this disorder five or more of the following
symptoms have been present during the same two week period and represent a change
from previous functioning at least one of the symptoms is either a depressed mood or
loss of interest or pleasure. The depressed mood is most of the day nearly every day. A
marked diminished interest or pleasure in almost all activities nearly every day.
Significant weight loss or gain insomnia or hypersomnia every day. Psycho mode
agitation/retardation. Fatigue or loss of energy. Feeling of worth less Ness or excessive
or inappropriate guilt. Diminished ability to think or concentrate or indecisiveness.
Recurrent thoughts of death. This can cause significant clinical distress or impairment in
social, occupational, or other important areas of functioning.
✔✔Depression Screening SIG-E-CAPS - ✔✔S- Sleep changes (usually decreased)
I- Loss of interest
ANSWERS GRADED A+
✔✔Bipolar II Disorder - ✔✔For diagnosis of this disorder it is necessary to meet the
following criteria for a current or past hypo manic episode and the following criteria for
occurring or past depressive episode.
✔✔Hypo manic episode criteria - ✔✔A. A distinct. Of abnormally or persistently
elevated, expansive, or irritable mood and abnormally and persistently increased activity
or energy, lasting at least four consecutive days and present most of the day, nearly
every day.
Be. During the period of mood disturbance and increase energy and activity, three or
more of the following symptoms have persisted for if the mood is only irritable.
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep; feels rested after only three hours of sleep
3. More talkative than usual or pressure to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility; attention too easily drawn to unimportant or irrelevant external stimuli,
as reported or observed.
6. Increase in goal directed activity; either socially, at work or school, or sexually, or
psycho motor agitation.
7. Excessive involvement in activities that have a high potential for painful
consequences example; in unrestrained fines freeze, sexual indiscretions, or foolish
business investments.
* The episode is not severe enough to cause marked impairment in social or
occupational functioning or to necessitate hospitalization. If there are psychotic features
the episode is by definition manic.
* The episode is not attributable to the physiological effects of a substance example a
drug of abuse, medication or another medical condition.
✔✔major depressive episode - ✔✔Five or more of the following symptoms have been
present during the same two week period and represent a change from previous
functioning, at least one of the symptoms is either a depressed mood or loss of interest
or pleasure.
✔✔Major depressive episode Symptoms - ✔✔1) depressed mood for the majority of
each day for at least *2 weeks*
2) *5+* of...
-- anhedonia
-- lack of motivation
-- less active, Psychomotor agitation/retardation
-- low self-esteem
-- daily fatigue, Insomnia or hypersomnia
-- abnormal eating habits; weight loss/gain
-- abnormal sleeping habits
-- lack of concentration
, -- daily guilt, Sense of worthlessness
-- suicidal thoughts
-- decreased academic performance Or ability to concentrate, indecisiveness
-- fewer friendships/social withdrawal
-- EXTREME CASES: psychotic symptoms (delusions, hallucinations)
3) Significant distress or impairment
✔✔Cyclothymic Disorder (Cyclothymia) - ✔✔for at least two years for adults and one
year for children and adolescents there have been numerous periods with hypo manic
symptoms that do not meet criteria for hypo manic episode in numerous periods of
depressive symptoms that do not meet criteria for a major depressive episode during
the above two year or one year. The hypomanic and depressive periods have been
present for at least half the time and the individual has not been without the symptoms
for more than two months at a time. Criteria for major depression, mania, or hypo manic
episode have never been met. The symptoms Are not better explained by
schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder,
or other specified or unspecified schizophrenia spectrum or other psychotic disorders.
The symptoms are not attributed to physiological effects of a substance or another
medical condition.
✔✔Dysthymic disorder or persistent depressive disorder (dysthymia) - ✔✔Full criteria of
major depressive episode have not been met. this disorder includes a depressed mood
for most of the day, for more days than not, as indicated by either subjective account or
observation by others, for at least two years. For children this may only last one year
and mood may be irritable. Two or more of the following symptoms are present; poor
appetite or over eating, insomnia or hypersomnia, low energy or fatigue, low self-
esteem, poor concentration or difficulty making decisions, feelings of hopelessness.
During the period of time of the disturbance the individual has never been without
symptoms for more than two months at a time. There has never been a manic episode
or a hypo manic episode and the symptoms do not meet cyclothymic disorder. The
symptoms cause clinically significant distress or impairment in social, occupational or
other important areas of functioning.
✔✔Major depressive disorder - ✔✔in this disorder five or more of the following
symptoms have been present during the same two week period and represent a change
from previous functioning at least one of the symptoms is either a depressed mood or
loss of interest or pleasure. The depressed mood is most of the day nearly every day. A
marked diminished interest or pleasure in almost all activities nearly every day.
Significant weight loss or gain insomnia or hypersomnia every day. Psycho mode
agitation/retardation. Fatigue or loss of energy. Feeling of worth less Ness or excessive
or inappropriate guilt. Diminished ability to think or concentrate or indecisiveness.
Recurrent thoughts of death. This can cause significant clinical distress or impairment in
social, occupational, or other important areas of functioning.
✔✔Depression Screening SIG-E-CAPS - ✔✔S- Sleep changes (usually decreased)
I- Loss of interest
