NUR 114 Final Exam Questions and Correct Answers |
Latest 2026/2027 Update | Graded A+ | 100% Assured
Pass.
Bipolar I disorder characterized by ✓
at least one week long manic episode that results in excessive activity. Mostly mania with mix of
depression
Mania can be
~~~ euphoric or dysphoric
Bipolar II disorder
~~~ mostly depression and hypomania. Early ages of 20 and 60 years old. Not
severe enough to impair social/occupational life.
Cyclothymic disorder
~~~ cycle in and out of hypomania (no delusions and hallucinations) and
depression. Two years for an adult, 1 year for a child
Bipolar II disorders are more common
~~~ among females
More than half the people with bipolar disorder have
~~~ have another psychiatric disorder, most being panic attacks, social phobia, etc.
Bipolar disorders have a strong
~~~ heritability
,Mania characteristics
~~~ ○ Mood - highly unstable. May laugh or joke or speak in a continuous stream.
Mood can quickly change to irritation or anger. Patients have high self confidence
and know no strangers. Excessive spending, elaborate schemes.
○ Behavior- constant activity and reduced need for sleep prevent proper rest. Non
stop physical activity can lead to physical exhaustion and death if not treated; this is
an EMERGENCY! Act on impulses.
○ Thought processes and speech patterns- flight of ideas is continuous flow of
accelerated speech- change in topic and plays on word. Speech is usually loud,
vulgar and sexua. Clang associations are stringing words together based on their
rhyming sounds.
For Mania, Always assess if the patient is
~~~ a danger to self or others
With people with mania, nurses need to
~~~ SET LIMITS! Consistency is key among staff if limit setting is to be carried out
consistently.
Diathesis stress model
~~~ genetic predisposition or chemical imbalance may never experience symptoms,
until an event triggers the disorder.
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Bipolar disorder may be more common in
~~~ upper socioeconomic classes
, For Bipolar, Early diagnosis and treatment is key in
~~~ preventing suicide attempts, alcohol/substance abuse, marital/work problems,
etc.
Big diagnosis for mania is
~~~ RISK FOR INJURY
Acute phase
~~~ primary outcome is injury prevention- stabilizing the patient (hydrating,
maintaining cardiac status, getting enough sleep and rest)
Meds to use during acute phase
~~~ use Lithium and Lamictal are the first line of treatment for someone with bipolar
disorder
Anticonvulsant drugs
~~~ effective at diminishing impulsive and aggressive behaviors in pts who are not
psychotic- Valproate (Depakote)- monitor liver function and platelet count
Antianxiety drugs
~~~ should be avoided in patients with h/o substance abuse. Clonazepam
(Klonopin) and Lorazepam (Ativan)
ECT
~~~ can be used to subdue manic behavior and severe depression- side effect is
memory loss
Latest 2026/2027 Update | Graded A+ | 100% Assured
Pass.
Bipolar I disorder characterized by ✓
at least one week long manic episode that results in excessive activity. Mostly mania with mix of
depression
Mania can be
~~~ euphoric or dysphoric
Bipolar II disorder
~~~ mostly depression and hypomania. Early ages of 20 and 60 years old. Not
severe enough to impair social/occupational life.
Cyclothymic disorder
~~~ cycle in and out of hypomania (no delusions and hallucinations) and
depression. Two years for an adult, 1 year for a child
Bipolar II disorders are more common
~~~ among females
More than half the people with bipolar disorder have
~~~ have another psychiatric disorder, most being panic attacks, social phobia, etc.
Bipolar disorders have a strong
~~~ heritability
,Mania characteristics
~~~ ○ Mood - highly unstable. May laugh or joke or speak in a continuous stream.
Mood can quickly change to irritation or anger. Patients have high self confidence
and know no strangers. Excessive spending, elaborate schemes.
○ Behavior- constant activity and reduced need for sleep prevent proper rest. Non
stop physical activity can lead to physical exhaustion and death if not treated; this is
an EMERGENCY! Act on impulses.
○ Thought processes and speech patterns- flight of ideas is continuous flow of
accelerated speech- change in topic and plays on word. Speech is usually loud,
vulgar and sexua. Clang associations are stringing words together based on their
rhyming sounds.
For Mania, Always assess if the patient is
~~~ a danger to self or others
With people with mania, nurses need to
~~~ SET LIMITS! Consistency is key among staff if limit setting is to be carried out
consistently.
Diathesis stress model
~~~ genetic predisposition or chemical imbalance may never experience symptoms,
until an event triggers the disorder.
, Thank you for Purchasing this exam
Study Guide. We provide high-
quality academic materials to help
students excel in exams. Our other
Services include but not limited to:
academic research, University &
College assignments writing, essay
writing, Online Classes, and
research projects. Our services are
reliable, affordable, and plagiarism-
free. All the Best in your Exam. For
more information; Contact us at:
or
0R
+254 741484450
Bipolar disorder may be more common in
~~~ upper socioeconomic classes
, For Bipolar, Early diagnosis and treatment is key in
~~~ preventing suicide attempts, alcohol/substance abuse, marital/work problems,
etc.
Big diagnosis for mania is
~~~ RISK FOR INJURY
Acute phase
~~~ primary outcome is injury prevention- stabilizing the patient (hydrating,
maintaining cardiac status, getting enough sleep and rest)
Meds to use during acute phase
~~~ use Lithium and Lamictal are the first line of treatment for someone with bipolar
disorder
Anticonvulsant drugs
~~~ effective at diminishing impulsive and aggressive behaviors in pts who are not
psychotic- Valproate (Depakote)- monitor liver function and platelet count
Antianxiety drugs
~~~ should be avoided in patients with h/o substance abuse. Clonazepam
(Klonopin) and Lorazepam (Ativan)
ECT
~~~ can be used to subdue manic behavior and severe depression- side effect is
memory loss
