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