NURS 663 EXAM 2 EXAM PREP TESTED
QUESTIONS AND SOLUTIONS
◉ Enuresis meds.
Answer: Desmopressin nasal spray;
◉ Major Depressive Disorder Dx.
Answer: 5+ for at least a 2-week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be
irritability in children & adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
5. Fatigue or loss of energy
6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness
(don't confuse with ADHD, address mood first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal
plan/intent: if hosp then 2 wk not req.
◉ SLAP.
,Answer: Social supports; lethal; access to means; plan and previous
attempt
◉ Suicide risk: IS PATH WARM.
Answer: Ideation, substance abuse, purpose to live gone; anxiety,
trapped feeling; hopelessness, w/d from soc supports, anger
w/rage; reckless, dramatic moods
◉ SIGECAPS.
Answer: Sleep, Interest, Guilt, Energy, Concentration, Appetite,
Psychomotor, Suicide
◉ bipolar vs unipolar: look at bipolar if.
Answer: 1. family hx: 1st degree relatives
2. Substance use: chasing high or low
3. Response to SSRI: no resp to multiple tries or evidence of mania
with use (not diagnostic)
◉ coprolalia.
Answer: involuntary utterance of obscenities or inappropriate
remarks
◉ Bipolar I criteria.
, Answer: One manic episode required
◉ Mania.
Answer: elevated, expansive, energetic + 3, (unless irritable
mood then requires 4+)
1. SX Lastat least one week-any duration if hosp
2. Inflated self-esteem, grandiosity
3. Decreased need for sleep
4. More talkative, pressure to keep talking
5. Flight of ideas or racing thoughts
6. Distractibility: r/o ADHD (constant) intermit w/BD
7. Increase in goal-directed activity
8. Risky, impulsive behaviors (sex, money, pot for harm)
◉ hypomania vs mania.
Answer: a milder form of elevated mood that are less severe and
cause less impairment than ______ and (usually) don't require
hospitalization
◉ Mania impairment.
Answer: severe in work, social activities, or relationships or to
necessitate hosp or there are psychotic features
QUESTIONS AND SOLUTIONS
◉ Enuresis meds.
Answer: Desmopressin nasal spray;
◉ Major Depressive Disorder Dx.
Answer: 5+ for at least a 2-week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be
irritability in children & adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
5. Fatigue or loss of energy
6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness
(don't confuse with ADHD, address mood first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal
plan/intent: if hosp then 2 wk not req.
◉ SLAP.
,Answer: Social supports; lethal; access to means; plan and previous
attempt
◉ Suicide risk: IS PATH WARM.
Answer: Ideation, substance abuse, purpose to live gone; anxiety,
trapped feeling; hopelessness, w/d from soc supports, anger
w/rage; reckless, dramatic moods
◉ SIGECAPS.
Answer: Sleep, Interest, Guilt, Energy, Concentration, Appetite,
Psychomotor, Suicide
◉ bipolar vs unipolar: look at bipolar if.
Answer: 1. family hx: 1st degree relatives
2. Substance use: chasing high or low
3. Response to SSRI: no resp to multiple tries or evidence of mania
with use (not diagnostic)
◉ coprolalia.
Answer: involuntary utterance of obscenities or inappropriate
remarks
◉ Bipolar I criteria.
, Answer: One manic episode required
◉ Mania.
Answer: elevated, expansive, energetic + 3, (unless irritable
mood then requires 4+)
1. SX Lastat least one week-any duration if hosp
2. Inflated self-esteem, grandiosity
3. Decreased need for sleep
4. More talkative, pressure to keep talking
5. Flight of ideas or racing thoughts
6. Distractibility: r/o ADHD (constant) intermit w/BD
7. Increase in goal-directed activity
8. Risky, impulsive behaviors (sex, money, pot for harm)
◉ hypomania vs mania.
Answer: a milder form of elevated mood that are less severe and
cause less impairment than ______ and (usually) don't require
hospitalization
◉ Mania impairment.
Answer: severe in work, social activities, or relationships or to
necessitate hosp or there are psychotic features
