NURS 663- EXAM REVIEW QUESTIONS
WITH CORRECT ANSWERS
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
WITH CORRECT ANSWERS
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
