Nur 622 Exam 1 Neuro Content/ Questions
with Definitive Solutions 2024-2025.
When does peripartum depression occur Answer:
- Starts up to 4-week post delivery
Bipolar Disorder Answer:
- Episodic mood shifts into mania, major depression, hypomania, and mixed mood
states.
- Often coexists w/other mental disorders and polysubstance disorder
Bipolar 1
Consistent with manic episodes
Bipolar 2
Hypomanic episodes with frank mania
Mania
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,mood state characterized by elation with hyperactivity, over involvement in life
activities, increased irritability, flight of ideas, easy distractibility, and needs for
little sleep.
S/S of Mania w/Bipolar Answer:
Very little need for sleep
Risky Behaviors
High Energy
Grandiose
Loud Rapid Speech
S/S of Depression w/Bipolar Answer:
Feelings of lethargy
Feeling worthless
Eating to much or to little
Sadness
Suicidal ideation
What is the most important complication to monitor with depression Answer:
Suicide, more likely in men > 50
What ability is most diminished with depression Answer:
Cognitive Ability
Adjustment disorder with depressed mood
- Occurs within three months of an acute stressor
- Causes significant impairment in social or occupational functioning
- Treatment should start immediately
Major Depressive Disorder Answer:
- Syndrome of mood, cognitive, and physical symptoms.
- Withdraw from activities, loss of interest and pleasure (anhedonia)
Vegetative s/s Answer:
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, - Insomnia, anorexia, weight loss and constipation
- Seen in Melancholic Major Depression with prominent anhedonia
Psychotic Major depression s/s include what Answer:
- Paranoia and Hallucinations
Patient with what mental disorder are 10X more likely to attempt suicide Answer:
Schizophrenia, most jump off bridges
Initial new treatment for depression regimen
Sertraline 25mg
Venlafaxine 37.5 mg and slowly up titrate
How often do you monitor patient's that have initiated a treatment regimen
Answer:
Every 1-2 for up to 6 weeks
A nurse practitioner is doing an assesment on a 30 year old female with suspected
depression. Which of these questions is the MOST important to ask Answer:
A. Have you thought of harming yourself
B. Have you talked to your husband about your feelings
C. Are you prescribed anything to help with your mood
D. Have you been diagnosed with depression before
A. Have you thought of harming yourself
A patient with a history of bipolar depression is brought to the ER by his mother
due to change in behavior. The patient has been very impulsive and not sleeping
for the past 2 weeks. The mother says this is similar to when he was diagnosed
with bipolar disorder 2 years ago. Which line of questioning by the NP shows an
understanding of the likely cause of the behavior change Answer:
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with Definitive Solutions 2024-2025.
When does peripartum depression occur Answer:
- Starts up to 4-week post delivery
Bipolar Disorder Answer:
- Episodic mood shifts into mania, major depression, hypomania, and mixed mood
states.
- Often coexists w/other mental disorders and polysubstance disorder
Bipolar 1
Consistent with manic episodes
Bipolar 2
Hypomanic episodes with frank mania
Mania
Page 1 of 18
,mood state characterized by elation with hyperactivity, over involvement in life
activities, increased irritability, flight of ideas, easy distractibility, and needs for
little sleep.
S/S of Mania w/Bipolar Answer:
Very little need for sleep
Risky Behaviors
High Energy
Grandiose
Loud Rapid Speech
S/S of Depression w/Bipolar Answer:
Feelings of lethargy
Feeling worthless
Eating to much or to little
Sadness
Suicidal ideation
What is the most important complication to monitor with depression Answer:
Suicide, more likely in men > 50
What ability is most diminished with depression Answer:
Cognitive Ability
Adjustment disorder with depressed mood
- Occurs within three months of an acute stressor
- Causes significant impairment in social or occupational functioning
- Treatment should start immediately
Major Depressive Disorder Answer:
- Syndrome of mood, cognitive, and physical symptoms.
- Withdraw from activities, loss of interest and pleasure (anhedonia)
Vegetative s/s Answer:
Page 2 of 18
, - Insomnia, anorexia, weight loss and constipation
- Seen in Melancholic Major Depression with prominent anhedonia
Psychotic Major depression s/s include what Answer:
- Paranoia and Hallucinations
Patient with what mental disorder are 10X more likely to attempt suicide Answer:
Schizophrenia, most jump off bridges
Initial new treatment for depression regimen
Sertraline 25mg
Venlafaxine 37.5 mg and slowly up titrate
How often do you monitor patient's that have initiated a treatment regimen
Answer:
Every 1-2 for up to 6 weeks
A nurse practitioner is doing an assesment on a 30 year old female with suspected
depression. Which of these questions is the MOST important to ask Answer:
A. Have you thought of harming yourself
B. Have you talked to your husband about your feelings
C. Are you prescribed anything to help with your mood
D. Have you been diagnosed with depression before
A. Have you thought of harming yourself
A patient with a history of bipolar depression is brought to the ER by his mother
due to change in behavior. The patient has been very impulsive and not sleeping
for the past 2 weeks. The mother says this is similar to when he was diagnosed
with bipolar disorder 2 years ago. Which line of questioning by the NP shows an
understanding of the likely cause of the behavior change Answer:
Page 3 of 18
