Nurs 663- Exam 1 Test Questions With Verified Solutions 100%

Nurs 663- Exam 1 Test Questions With Verified Solutions 100% Patient comes in with symptoms of mania followed by periods of depression; what is it? - ANSWER bipolar 1 patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is it? - ANSWER bipolar 2 how many symptoms of mania must you have to have "full" mania? - ANSWER seven of thirteen what is the difference between mania and hypomania? - ANSWER hypomania has less severe symptoms; 3 symptoms over shorter period of time (hypomania) Cyclothymia - ANSWER a disorder that consists of mood swings from moderate depression to hypomania and lasts two years or more moods are always irregular- not ever to a full extreme Dysthymia - ANSWER a form of depression that is not severe enough to be diagnosed as major depression "eeyore" always kind of down and depressed SIADH - ANSWER syndrome of inappropriate antidiuretic hormone will retain water hyponatremia will be observed what is something you should watch out for if a patient is on multiple antidepressants? - ANSWER SIADH what medical problems mimic mood disorders? - ANSWER hypothyroid- depression hyperthyroid- mania involuntary admission - ANSWER hurt yourself hurt someone else inability to care for self Carbamazepine (Tegretol) - ANSWER mood stabilizer indication: bipolar disorder major side effects: CYP 450: (inducer- speeds up metabolism of other drugs) patient education: what 3 medications must have blood draws associated with them? - ANSWER carbamazepine, lithium, valproic acid Mood Disorder Questionnaire - ANSWER Screens for Bipolar Disorder 7+ is a positive screening 4-5 might be hypomania how is the PHQ-9 scored - ANSWER 1-4 minimal depression 5-9 mild depression 10-14 moderate depression 15-19 moderately severe 20 + severe PHQ-9 - ANSWER assessment that evaluates the degree of depression What is the DSM criteria for Major Depressive Disorder? - ANSWER **no history of mania, hypo, or mixed symptoms symptoms >2 weeks must have: sadness, anhedonia (loss pleasure/interest) 4 of following: - appetite/sleep changes, psychomotor retardation, lack of energy, guilt/worthlessness, issues w/ concentration, thoughts suicide/death What are the "frequency" modifiers for MDD? - ANSWER episodic: symptoms dissipate over time recurrent: likely to reappear in future subclinical: sadness + 3 symptoms > 10 days (full criteria not met) how is the severity of depression rated? - ANSWER - Mild: no suicidal thoughts/death wishes - Moderate: some thoughts of death/self-harm - Severe: plan/attempted