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