NURS 663 Exam 1 Prep 2026/2027 |
Comprehensive Practice Test
Manic Episode - correct answer--Elevated, expansive, or irritable mood for at
least 1 week
-Usually hospitalization
-Severe impairment
-3 of the following symptoms (4 if the mood is only irritable):
D-distractibility
I-indiscretion or irresponsibility
G-grandiosity or inflated self-esteem
F-flight of ideas, racing thoughts
A-activity increased
S-sleep need is decreased
T-talkative, pressure of speech
DIGFAST - correct answer-D-distractibility
I-indiscretion or irresponsibility
G-grandiosity or inflated self-esteem
F-flight of ideas, racing thoughts
A-activity increased
,S-sleep need is decreased
T-talkative, pressure of speech
Hypomanic episode - correct answer-Manic symptoms that don't meet full
criteria
-Same symptoms but only 4 days instead of a week
-No hospitalization
-No severe impairment
Bipolar Type 1 - correct answer-At least 1 manic episode (can have a major
depressive episode but not required)
Bipolar Type 2 - correct answer-At least 1 hypomanic episode, and at least 1
major depressive episode
-NO manic episodes ever
Cyclothymia - correct answer-Less severe/intense bipolar
-At least 2 years, periods of hypomania and depressive symptoms
-Never without symptoms for more than 2 months
Dysthymia - correct answer-Less severe MDD that's more chronic
-Always sad baseline
-Depressed mood for at least 2 years but not full MDD criteria (only 2 symptoms
needed)
-Never without symptoms for more than 2 months
, Major Depressive Disorder (MDD) - correct answer--At least 2 weeks and is a
change from baseline
-At least 1 symptom is either depressed mood, or anhedonia (lack of
interest/pleasure)
-4 or more other symptoms:
-Weight loss/gain, appetite change
-Psychomotor agitation/retardation
-Insomnia/hypersomnia
-Fatigue/lack of energy
-Decreased concentration
-Suicidal ideation
Bipolar - Rapid Cycling - correct answer-4 or more mood episodes in a year
Treatment for Bipolar (quick list) - correct answer-Mood stabilizers
1st choice - lithium
2nd - anticonvulsants (valproic acid, carbamezapine, lamotrigine)
3rd - antispychotics
Big things to know with mood stabilizers - correct answer-Indicated for: bipolar,
cyclothymia, schizoaffective, impulse control, intermittent explosive disorders
-Check pregnancy test for all!
-Lab work for levels of most of the meds
Comprehensive Practice Test
Manic Episode - correct answer--Elevated, expansive, or irritable mood for at
least 1 week
-Usually hospitalization
-Severe impairment
-3 of the following symptoms (4 if the mood is only irritable):
D-distractibility
I-indiscretion or irresponsibility
G-grandiosity or inflated self-esteem
F-flight of ideas, racing thoughts
A-activity increased
S-sleep need is decreased
T-talkative, pressure of speech
DIGFAST - correct answer-D-distractibility
I-indiscretion or irresponsibility
G-grandiosity or inflated self-esteem
F-flight of ideas, racing thoughts
A-activity increased
,S-sleep need is decreased
T-talkative, pressure of speech
Hypomanic episode - correct answer-Manic symptoms that don't meet full
criteria
-Same symptoms but only 4 days instead of a week
-No hospitalization
-No severe impairment
Bipolar Type 1 - correct answer-At least 1 manic episode (can have a major
depressive episode but not required)
Bipolar Type 2 - correct answer-At least 1 hypomanic episode, and at least 1
major depressive episode
-NO manic episodes ever
Cyclothymia - correct answer-Less severe/intense bipolar
-At least 2 years, periods of hypomania and depressive symptoms
-Never without symptoms for more than 2 months
Dysthymia - correct answer-Less severe MDD that's more chronic
-Always sad baseline
-Depressed mood for at least 2 years but not full MDD criteria (only 2 symptoms
needed)
-Never without symptoms for more than 2 months
, Major Depressive Disorder (MDD) - correct answer--At least 2 weeks and is a
change from baseline
-At least 1 symptom is either depressed mood, or anhedonia (lack of
interest/pleasure)
-4 or more other symptoms:
-Weight loss/gain, appetite change
-Psychomotor agitation/retardation
-Insomnia/hypersomnia
-Fatigue/lack of energy
-Decreased concentration
-Suicidal ideation
Bipolar - Rapid Cycling - correct answer-4 or more mood episodes in a year
Treatment for Bipolar (quick list) - correct answer-Mood stabilizers
1st choice - lithium
2nd - anticonvulsants (valproic acid, carbamezapine, lamotrigine)
3rd - antispychotics
Big things to know with mood stabilizers - correct answer-Indicated for: bipolar,
cyclothymia, schizoaffective, impulse control, intermittent explosive disorders
-Check pregnancy test for all!
-Lab work for levels of most of the meds
