Nurs 663- Exam 1 2025 QUESTIONS AND VERIFIED
ANSWERS (100% CORRECT ANSWERS) A+ GRADED
| ALREADY PASSED!!
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
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,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
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,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
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, 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
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 4
ANSWERS (100% CORRECT ANSWERS) A+ GRADED
| ALREADY PASSED!!
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
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 1
,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
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 2
,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
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 3
, 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
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 4
