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Nurs 663- Exam 1 questions with answers

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Nurs 663- Exam 1 questions with answers

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Nurs 663- Exam 1 questions with answers

Patient comes in with symptoms of mania followed by periods of depression; what is it? -
**🔰 VERIFIED ANSWERS🔰 ✔✔bipolar 1



patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it? - **🔰 VERIFIED ANSWERS🔰 ✔✔bipolar 2



how many symptoms of mania must you have to have "full" mania? - **🔰 VERIFIED
ANSWERS🔰 ✔✔seven of thirteen



what is the difference between mania and hypomania? - **🔰 VERIFIED ANSWERS🔰
✔✔hypomania has less severe symptoms; 3 symptoms over shorter period of time
(hypomania)



Cyclothymia - **🔰 VERIFIED ANSWERS🔰 ✔✔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 - **🔰 VERIFIED ANSWERS🔰 ✔✔a form of depression that is not
severe enough to be diagnosed as major depression



"eeyore" always kind of down and depressed



SIADH - **🔰 VERIFIED ANSWERS🔰 ✔✔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? -
**🔰 VERIFIED ANSWERS🔰 ✔✔SIADH



what medical problems mimic mood disorders? - **🔰 VERIFIED ANSWERS🔰
✔✔hypothyroid- depression

hyperthyroid- mania



involuntary admission - **🔰 VERIFIED ANSWERS🔰 ✔✔hurt yourself

hurt someone else

inability to care for self



Carbamazepine (Tegretol) - **🔰 VERIFIED ANSWERS🔰 ✔✔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? - **🔰 VERIFIED
ANSWERS🔰 ✔✔carbamazepine, lithium, valproic acid

, Mood Disorder Questionnaire - **🔰 VERIFIED ANSWERS🔰 ✔✔Screens for
Bipolar Disorder



7+ is a positive screening



4-5 might be hypomania



how is the PHQ-9 scored - **🔰 VERIFIED ANSWERS🔰 ✔✔1-4 minimal
depression

5-9 mild depression

10-14 moderate depression

15-19 moderately severe

20 + severe



PHQ-9 - **🔰 VERIFIED ANSWERS🔰 ✔✔assessment that evaluates the degree of
depression



What is the DSM criteria for Major Depressive Disorder? - **🔰 VERIFIED
ANSWERS🔰 ✔✔**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? - **🔰 VERIFIED ANSWERS🔰
✔✔episodic: symptoms dissipate over time

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