NURS 663 Exam 1 Study Guide and practice exam :
Updated A+ Score Solution
cyclothymia treatment - antipsychotics and antidepressants
cyclothymia patients at higher risk for - bipolar disorder
dysthymia definition - at least 2 years of chronic mild MDD symptoms
dysthymia treatment - antidepressants and therapy
patients with dysthymia at higher risk for - MDD
hypomania definition - present for at least 4 days and less than 1 week; not severe
enough to cause impairment in social or occupational functioning; no psychosis
modifiable risk factors for suicide - living alone, unrealistic parental expectations, abuse,
mental illness, substance abuse, poor coping skills, chronic severe stress
nonmodifiable risk factors for suicide - being male, family history of MH or SI, race,
gender, previous suicide attempt loss through death or divorce, bad parenting, sexual
orientation, gender identity
% of suicides male - 78%
suicide attempt rate in population - 2.5%
criteria for involuntary hospitalization - 1. mental illness, developmental disability, or
drug/etoh dependance
2. the illness/disability/dependance is treatable
3. the person is dangerous to him/herself or others due to the
illness/disability/dependence
DIGFAST - Bipolar disorder acronym
D- distractibility
I-impulsivity
G-grandiosity
F-flight of ideas
A-activity, hyperactive
S- sleep; requiring less
T- talkativeness
BPD type 1 timing - mania lasts at least 1 week
rapid cycling definition - at least 4 cycles per year with 8 weeks of well periods
, BPD 2 definition - current or past hypomanic episode AND current or past major
depressive episode
cyclothymia definition - episodes of weeks to months of being happy and energetic
followed by months of depression and irritability; symptoms not severe enough to
impact functionality
cyclothymia timing - at least 2 years in adults and 1 year in kids with periods of
hypomania that do not meet criteria for hypomania; present at least 1/2 the time and not
without longer than 2 months
*danger to self/others or unable to care for self
possible medical conditions that can mimic Mental illness - hypothyroidism, diabetes
what is bupropion good for - ADHD, depression, sexual side effects
when should you not use buproprion - head injury or seizure
carbamazepine birth defect - spina bifida/neural tube defects
**folic acid
carbamazepine target - 4-12
carbamazepine starting dose - 200mg BID
carbamazepine side effects - SJS rash, cardiac, CYP450!
carbamazepine not good for who - pregnant
older adults (due to med interactions)
fluoxetine not good for - elderly d/t CYP 450
possible bipolar (d/t long half life)
how long should you stop fluoxetine before starting MAOI? - 5 weeks
how long should you stop MAOI before starting other antidepressant? - 2 weeks
fluoxetine drug interactions - alprazolam, buspar, codeine
lamictal dosing - 25mg x2 weeks
monitor for rash with each increase
lamictal and VPA... - VPA doubles lamictal dose, so use slower dose titration of lamictal
if they are used together
Updated A+ Score Solution
cyclothymia treatment - antipsychotics and antidepressants
cyclothymia patients at higher risk for - bipolar disorder
dysthymia definition - at least 2 years of chronic mild MDD symptoms
dysthymia treatment - antidepressants and therapy
patients with dysthymia at higher risk for - MDD
hypomania definition - present for at least 4 days and less than 1 week; not severe
enough to cause impairment in social or occupational functioning; no psychosis
modifiable risk factors for suicide - living alone, unrealistic parental expectations, abuse,
mental illness, substance abuse, poor coping skills, chronic severe stress
nonmodifiable risk factors for suicide - being male, family history of MH or SI, race,
gender, previous suicide attempt loss through death or divorce, bad parenting, sexual
orientation, gender identity
% of suicides male - 78%
suicide attempt rate in population - 2.5%
criteria for involuntary hospitalization - 1. mental illness, developmental disability, or
drug/etoh dependance
2. the illness/disability/dependance is treatable
3. the person is dangerous to him/herself or others due to the
illness/disability/dependence
DIGFAST - Bipolar disorder acronym
D- distractibility
I-impulsivity
G-grandiosity
F-flight of ideas
A-activity, hyperactive
S- sleep; requiring less
T- talkativeness
BPD type 1 timing - mania lasts at least 1 week
rapid cycling definition - at least 4 cycles per year with 8 weeks of well periods
, BPD 2 definition - current or past hypomanic episode AND current or past major
depressive episode
cyclothymia definition - episodes of weeks to months of being happy and energetic
followed by months of depression and irritability; symptoms not severe enough to
impact functionality
cyclothymia timing - at least 2 years in adults and 1 year in kids with periods of
hypomania that do not meet criteria for hypomania; present at least 1/2 the time and not
without longer than 2 months
*danger to self/others or unable to care for self
possible medical conditions that can mimic Mental illness - hypothyroidism, diabetes
what is bupropion good for - ADHD, depression, sexual side effects
when should you not use buproprion - head injury or seizure
carbamazepine birth defect - spina bifida/neural tube defects
**folic acid
carbamazepine target - 4-12
carbamazepine starting dose - 200mg BID
carbamazepine side effects - SJS rash, cardiac, CYP450!
carbamazepine not good for who - pregnant
older adults (due to med interactions)
fluoxetine not good for - elderly d/t CYP 450
possible bipolar (d/t long half life)
how long should you stop fluoxetine before starting MAOI? - 5 weeks
how long should you stop MAOI before starting other antidepressant? - 2 weeks
fluoxetine drug interactions - alprazolam, buspar, codeine
lamictal dosing - 25mg x2 weeks
monitor for rash with each increase
lamictal and VPA... - VPA doubles lamictal dose, so use slower dose titration of lamictal
if they are used together
