Chapter 13: Bipolar and Related Disorders questions and solutions

Chapter 13: Bipolar and Related Disorders questions and
solutions
Bipolar Disorders - Correct Answer ✔✔ - •Formerly known as *manic depression*
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•Consist of *unusual shifts from highs (mania and hypomania) to lows (depressive symptoms)*
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Bipolar I - Correct Answer ✔✔ - •*Most severe* bipolar disorder
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•*At risk for violence and suicide*
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•Experience at least *one episode of mania last over 1 week * OR *needed hospitalization* n, n, n, n, n, n, n, n, n, n, n, n, n, n,




Mania - Correct Answer ✔✔ - - mood disturbance with continuous elevation, agitation/irritability, and extreme goal-
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directed activity or energy n, n, n,




-People appear happy, excited, optimistic, euphoric, and energized
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MANIA menomic: n,




More energy, Mood swings
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- euphoric energy, impulsive, graniosity
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-Hallucinations and delusions of grandeur n, n, n, n,




Agitation
- set limit and structure environment
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Nonstop talking and Flight ideas n, n, n, n,




- colorful bizzare clothing choice
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Insomnia
- cant sleep for days
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Attention san POOR n, n, n,




- easily distracted = reduce stimuli
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Bipolar II - Correct Answer ✔✔ - •Experience at least *one hypomanic* episode and at least *one depressive episod
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Hypomania - Correct Answer ✔✔ - - low-level/less dramatic mania n, n, n, n, n, n, n, n, n, n,




Cyclothymic Disorder - Correct Answer ✔✔ - •Consists of *hypomanic *symptoms alternating *with mild to moderat
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depressive* symptoms
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•*2+ years for adults*
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•*1+ year for children*
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Rapid Cycling - Correct Answer ✔✔ - •May *have 4+ mood episodes within a year*
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Men are more likely to - Correct Answer ✔✔ - -Commit violent acts
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-Have legal problems n, n,




Women are more likely to - Correct Answer ✔✔ - -Die by suicide
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-Misuse alcohol n,




-Develop thyroid disease n, n,

,Women who experience severe postpartum psychosis within 2 weeks of giving birth - Correct Answer ✔✔ - are at
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greater risk for having bipolar disorder
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Risk Factors bipolar disorder - Correct Answer ✔✔ - •*Genetics*
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•High intelligence quotients (IQs) n, n, n,




•Higher levels of education and higher occupational status (when compared to individuals with unipolar depression)
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•Neurobiology

•Dysfunction in the prefrontal cortical region, hippocampus, and amygdala n, n, n, n, n, n, n, n,




-Prefrontal cortical region is associated with: decision making, personality expression, social behavior n, n, n, n, n, n, n, n, n, n, n,




-Hippocampus is associated with: memory n, n, n, n,




-Amygdala is associated with: memory, decision making, emotion n, n, n, n, n, n, n,




•Hypothyroidism
•Peripheral inflammation n,




•Adverse life events n, n,




•Stress
•Childhood emotional, physical, and sexual abuse and emotional neglect n, n, n, n, n, n, n, n,




Pressured speech - Correct Answer ✔✔ - -Fast speech that conveys an inappropriate sense of urgency n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,




•Tends to be rapid, incoherent, and loud n, n, n, n, n, n,




•May talk nonstop n, n,




•No interest in feedback or having conversations with others
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Circumstantial speech - Correct Answer ✔✔ - -Adds unnecessary details when talking with others, but eventually n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,




gets to one's point
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Tangential speech - Correct Answer ✔✔ - -Similar to circumstantial speech; however, they *lose the point they are n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n, n,




make*
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--Patients may become aware that they have lost their point, which indicates less thought disturbance n, n, n, n, n, n, n, n, n, n, n, n, n, n,




Often times, there is a common word that connects sentences
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Loose associations - Correct Answer ✔✔ - -*Disordered* way of how one *processes information*
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-*Thoughts are loosely connected to one another* n, n, n, n, n, n,




Flight of ideas - Correct Answer ✔✔ - -*Continuous flow of accelerated speech*
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-Abrupt *changes from topic to topic* n, n, n, n, n,




-Play on words n, n,




-Speech is rapid and can be disorganized and incoherent n, n, n, n, n, n, n, n,




-Often includes joking, puns, and teasing n, n, n, n, n,




-Speech can be loud and can involve screaming n, n, n, n, n, n, n,




-There is force and energy behind the spoken words n, n, n, n, n, n, n, n,




-Can turn into clang associations n, n, n, n,




Clang associations - Correct Answer ✔✔ - -Stringing together of words due to their rhyming sounds
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-The words may have no meaning together n, n, n, n, n, n,




Grandiose delusions - Correct Answer ✔✔ - -*Thinks highly of one's self* n, n, n, n, n, n, n, n, n, n, n, n,




--*Expressed through ideas and behavior* n, n, n, n,