NURSING 180 QUESTIONS AND ANSWERS 2026/2027 – NUR 180
PRACTICE TEST, STUDY GUIDE & EXAM PREP
Bipolar I - ✔✔-The patient experiences a manic episode, followed by depressive episodes. During a
manic episode the patient may display symptoms such as elevated mood, increased energy, racing
thoughts, decreased need for sleep.
Bipolar II - ✔✔-Is diagnosed when a patient experiences recurrent depressive episodes and at least one
hypomanic episode. Hypomania is a less form of mania characterized by a distinct period of elevated
mood, increased energy, and heightened creativity.
Scope of Chronic Mental Illness - ✔✔-Chronic mental disorders are disabling for individuals in every
society and culture
-Nearly one in five US adults live with mental illness
-Chronic mental illness carries social stigmas
-Because mental illness affects every area of functioning, each chronically mentally troubled individual
has a unique life experience.
Providing care for chronically mentally ill people - ✔✔-People with chronic mental health problems are
found everywhere in society.
-Majority of mental health care is provided in the community
-Inpatient settings are used only when required
-Inpatient and outpatient settings
-Psychiatric rehabilitation
Complementary Alternative medication is most commonly used for people with... - ✔✔-PTSD
Crisis Intervention - ✔✔-Care is needed immediately
-Control
-Assessment
-Client's disposition is determined
-Referral
-Follow-up
What first must a nurse do before taking care of a client with cultural diversity? - ✔✔-The nurse must
first conduct a self-assessment of their own cultural beliefs and biases to gain awareness of how their
own background might influence their interactions with the patient.
Cyclothymic disorder - ✔✔-Short periods of mild depression alternating with short periods of
hypomania.
-Between depressive and manic episodes of brief periods of normal mood.
-Both depressive and hypomanic phases shorter and less severe than those in bipolar I and bipolar II
-Affects up to 1% of the population, striking men and women equally.
Major depressive disorder (Uni polar depression) - ✔✔-Symptom of a persistently sad mood lasting 2
weeks or longer may be accompanied by other problems
, Unipolar depression: Problems - ✔✔-Guilt
-Hopelessness
-Poor concentration
-Sleep disturbances
-Lethargy
-Appetite loss or weight gain
-Anhedonia (Lack of interest, pleasure or interest)
-Loss of mood
-Suicidal thoughts
Unipolar depression: Causes - ✔✔-Genetic, biochemical, physical, psychological factors implicated.
-Primary defects sites points to neural networks of brains prefrontal cortex and basal ganglia
-Possible involvement of serotonin
-Drug induced such as antihypertensives, psychotropics, antiparkinsonians, opioids, and non-opioid
analgesics, steroids.
Unipolar depression (Major Depressive Disorder): Signs and symptoms - ✔✔-Feeling down in the
dumps
-Increased or decreased appetite
-Sleep disturbance
-Disinterest in sex
-Difficulty concentrating or thinking clearly
-Easy distractibility
-Indecisiveness
-Low self esteem
-Poor coping
-Constipation or diarrhea
-Suicidal thoughts
-Possible worsening of symptoms in the morning
-Suicidal attempts
Signs of Mania - ✔✔-Expressive, grandiose, or hyperirritable mood
-Increased psychomotor activity, such as agitation, pacing or wringing
-Excessive social extroversion
-Rapid speech with frequent topic changes
-Decreased need for sleep and food
-Impulsitivity
-Impaired judgement
Diagnostics for Unipolar Depression (Major Depressive Disorder) - ✔✔-Dexamethasone suppression
test
-Toxicology screening
Electroconvulsive therapy (ECT) - ✔✔-Controversial
-Used to treat severe depression in certain cases
-Used when psychotherapy and medication is not effective
-A patient is immediate risk for suicide
PRACTICE TEST, STUDY GUIDE & EXAM PREP
Bipolar I - ✔✔-The patient experiences a manic episode, followed by depressive episodes. During a
manic episode the patient may display symptoms such as elevated mood, increased energy, racing
thoughts, decreased need for sleep.
Bipolar II - ✔✔-Is diagnosed when a patient experiences recurrent depressive episodes and at least one
hypomanic episode. Hypomania is a less form of mania characterized by a distinct period of elevated
mood, increased energy, and heightened creativity.
Scope of Chronic Mental Illness - ✔✔-Chronic mental disorders are disabling for individuals in every
society and culture
-Nearly one in five US adults live with mental illness
-Chronic mental illness carries social stigmas
-Because mental illness affects every area of functioning, each chronically mentally troubled individual
has a unique life experience.
Providing care for chronically mentally ill people - ✔✔-People with chronic mental health problems are
found everywhere in society.
-Majority of mental health care is provided in the community
-Inpatient settings are used only when required
-Inpatient and outpatient settings
-Psychiatric rehabilitation
Complementary Alternative medication is most commonly used for people with... - ✔✔-PTSD
Crisis Intervention - ✔✔-Care is needed immediately
-Control
-Assessment
-Client's disposition is determined
-Referral
-Follow-up
What first must a nurse do before taking care of a client with cultural diversity? - ✔✔-The nurse must
first conduct a self-assessment of their own cultural beliefs and biases to gain awareness of how their
own background might influence their interactions with the patient.
Cyclothymic disorder - ✔✔-Short periods of mild depression alternating with short periods of
hypomania.
-Between depressive and manic episodes of brief periods of normal mood.
-Both depressive and hypomanic phases shorter and less severe than those in bipolar I and bipolar II
-Affects up to 1% of the population, striking men and women equally.
Major depressive disorder (Uni polar depression) - ✔✔-Symptom of a persistently sad mood lasting 2
weeks or longer may be accompanied by other problems
, Unipolar depression: Problems - ✔✔-Guilt
-Hopelessness
-Poor concentration
-Sleep disturbances
-Lethargy
-Appetite loss or weight gain
-Anhedonia (Lack of interest, pleasure or interest)
-Loss of mood
-Suicidal thoughts
Unipolar depression: Causes - ✔✔-Genetic, biochemical, physical, psychological factors implicated.
-Primary defects sites points to neural networks of brains prefrontal cortex and basal ganglia
-Possible involvement of serotonin
-Drug induced such as antihypertensives, psychotropics, antiparkinsonians, opioids, and non-opioid
analgesics, steroids.
Unipolar depression (Major Depressive Disorder): Signs and symptoms - ✔✔-Feeling down in the
dumps
-Increased or decreased appetite
-Sleep disturbance
-Disinterest in sex
-Difficulty concentrating or thinking clearly
-Easy distractibility
-Indecisiveness
-Low self esteem
-Poor coping
-Constipation or diarrhea
-Suicidal thoughts
-Possible worsening of symptoms in the morning
-Suicidal attempts
Signs of Mania - ✔✔-Expressive, grandiose, or hyperirritable mood
-Increased psychomotor activity, such as agitation, pacing or wringing
-Excessive social extroversion
-Rapid speech with frequent topic changes
-Decreased need for sleep and food
-Impulsitivity
-Impaired judgement
Diagnostics for Unipolar Depression (Major Depressive Disorder) - ✔✔-Dexamethasone suppression
test
-Toxicology screening
Electroconvulsive therapy (ECT) - ✔✔-Controversial
-Used to treat severe depression in certain cases
-Used when psychotherapy and medication is not effective
-A patient is immediate risk for suicide
