MH Exam 2 [Bipolar & Depression]
ATI Ch. 13 Questions and Answers
(latest Update)
Bipolar disorders are mood disorders with recurrent episodes of _____________ and
mania. - ANSWER >>> depression
What are the diagnostic criteria for Bipolar I? - ANSWER >>> the pt. has had at least
one manic episode which may be preceded or followed by hypomanic or major
depressive episodes
What are the different types of bipolar? - ANSWER >>> 1. Bipolar I
2. Bipolar II
3. Cyclothymia
What are the diagnostic criteria for Bipolar II? - ANSWER >>> at least one major
depressive episode lasting at least 2 weeks AND at least one hypomanic episode
lasting at least 4 days
What is the difference between Bipolar I and Bipolar II? - ANSWER >>> In bipolar II the
patient has NEVER had a manic episode
What are the diagnostic criteria for cyclothymic disorder? - ANSWER >>> the pt. has
had at least 2 years of these symptoms: periods of hypomania symptoms (less severe
than the hypomanic episode) and periods of depressive symptoms which are less
severe than major depressive episodes. During that time symptoms occur at least half
the time and never go away for more than 2 months.
a distinct period of a normally and persistently elevated, expansive, or irritable mood
that lasts at least 1 week or less than 1 week if hospitalization is necessary is known
as... - ANSWER >>> manic episode/ mania
ATI: Manic characteristics - ANSWER >>> › Labile mood with euphoria
› Agitation and irritability
› Restlessness
› Dislike of interference and intolerance of criticism
› Increase in talking and activity
› Flight of ideas - rapid, continuous speech with sudden and frequent topic change
› Grandiose view of self and abilities (grandiosity)
› Impulsivity - spending money, giving away money or possessions
› Demanding and manipulative behavior
› Distractibility and decreased attention span
› Poor judgment
, › Attention-seeking behavior - flashy dress and makeup, inappropriate behavior
› Impairment in social and occupational functioning
› Decreased sleep
› Neglect of ADLs, including nutrition and hydration
› Possible presence of delusions and hallucinations
› Denial of illness
Manic characteristics (to look for during assessment) (PowerPoint) - ANSWER >>> 1.
increased energy, activity, and restlessness
2. excessively high OR overly good euphoric mood
3. extreme irritability
4. racing thoughts/ talking very fast, jumping from one idea to another
5. very distractable, very little sleep, pt.’s with mania exhaust themselves almost to the
point of death
6. unrealistic beliefs in one's abilities and powers
7. poor judgement, poor impulse control (spending sprees)
8. increased sexual drive
9. commonly abuse drugs (cocaine, alcohol, and sleeping medications)
10.provocative, intrusive, or have aggressive behavior 11. denies anything is wrong.
Grandiosity- larger than life feelings of superiority
often seen in manic and hypomanic - ANSWER >>> larger than life feelings of
superiority
often seen in manic and hypomanic
ATI: depressive characteristics - ANSWER >>> › Flat, blunted, labile affect
› Tearfulness, crying
› Lack of energy
› Anhedonia - loss of pleasure and lack of interest in activities, hobbies, sexual activity
› Physical reports of discomfort/pain
› Difficulty concentrating, focusing, problem-solving
› Self-destructive behavior, including suicidal ideation
› Decrease in personal hygiene
› Loss or increase in appetite and/or sleep, disturbed sleep
› Psychomotor retardation or agitation
depressive characteristics (to look for during assessment) (PowerPoint) - ANSWER >>>
1. lasting sad, anxious, or empty mood
2. feelings of hopelessness or pessimism
3. feelings of guilt, worthlessness, and helplessness
4. loss of interest or pleasure in activities they once enjoyed which include sex
5. decreased energy, feeling of fatigue or being slowed down
6. difficulty concentrating, remembering and/or making decisions
7. restlessness or irritability, sleeping too much or can't sleep at all
8. change in appetite or weight loss or gain
9. chronic pain or other body symptoms not caused by physical illness or injury
ATI Ch. 13 Questions and Answers
(latest Update)
Bipolar disorders are mood disorders with recurrent episodes of _____________ and
mania. - ANSWER >>> depression
What are the diagnostic criteria for Bipolar I? - ANSWER >>> the pt. has had at least
one manic episode which may be preceded or followed by hypomanic or major
depressive episodes
What are the different types of bipolar? - ANSWER >>> 1. Bipolar I
2. Bipolar II
3. Cyclothymia
What are the diagnostic criteria for Bipolar II? - ANSWER >>> at least one major
depressive episode lasting at least 2 weeks AND at least one hypomanic episode
lasting at least 4 days
What is the difference between Bipolar I and Bipolar II? - ANSWER >>> In bipolar II the
patient has NEVER had a manic episode
What are the diagnostic criteria for cyclothymic disorder? - ANSWER >>> the pt. has
had at least 2 years of these symptoms: periods of hypomania symptoms (less severe
than the hypomanic episode) and periods of depressive symptoms which are less
severe than major depressive episodes. During that time symptoms occur at least half
the time and never go away for more than 2 months.
a distinct period of a normally and persistently elevated, expansive, or irritable mood
that lasts at least 1 week or less than 1 week if hospitalization is necessary is known
as... - ANSWER >>> manic episode/ mania
ATI: Manic characteristics - ANSWER >>> › Labile mood with euphoria
› Agitation and irritability
› Restlessness
› Dislike of interference and intolerance of criticism
› Increase in talking and activity
› Flight of ideas - rapid, continuous speech with sudden and frequent topic change
› Grandiose view of self and abilities (grandiosity)
› Impulsivity - spending money, giving away money or possessions
› Demanding and manipulative behavior
› Distractibility and decreased attention span
› Poor judgment
, › Attention-seeking behavior - flashy dress and makeup, inappropriate behavior
› Impairment in social and occupational functioning
› Decreased sleep
› Neglect of ADLs, including nutrition and hydration
› Possible presence of delusions and hallucinations
› Denial of illness
Manic characteristics (to look for during assessment) (PowerPoint) - ANSWER >>> 1.
increased energy, activity, and restlessness
2. excessively high OR overly good euphoric mood
3. extreme irritability
4. racing thoughts/ talking very fast, jumping from one idea to another
5. very distractable, very little sleep, pt.’s with mania exhaust themselves almost to the
point of death
6. unrealistic beliefs in one's abilities and powers
7. poor judgement, poor impulse control (spending sprees)
8. increased sexual drive
9. commonly abuse drugs (cocaine, alcohol, and sleeping medications)
10.provocative, intrusive, or have aggressive behavior 11. denies anything is wrong.
Grandiosity- larger than life feelings of superiority
often seen in manic and hypomanic - ANSWER >>> larger than life feelings of
superiority
often seen in manic and hypomanic
ATI: depressive characteristics - ANSWER >>> › Flat, blunted, labile affect
› Tearfulness, crying
› Lack of energy
› Anhedonia - loss of pleasure and lack of interest in activities, hobbies, sexual activity
› Physical reports of discomfort/pain
› Difficulty concentrating, focusing, problem-solving
› Self-destructive behavior, including suicidal ideation
› Decrease in personal hygiene
› Loss or increase in appetite and/or sleep, disturbed sleep
› Psychomotor retardation or agitation
depressive characteristics (to look for during assessment) (PowerPoint) - ANSWER >>>
1. lasting sad, anxious, or empty mood
2. feelings of hopelessness or pessimism
3. feelings of guilt, worthlessness, and helplessness
4. loss of interest or pleasure in activities they once enjoyed which include sex
5. decreased energy, feeling of fatigue or being slowed down
6. difficulty concentrating, remembering and/or making decisions
7. restlessness or irritability, sleeping too much or can't sleep at all
8. change in appetite or weight loss or gain
9. chronic pain or other body symptoms not caused by physical illness or injury
