Nurs 663- Exam 1 Questions and Answers
Graded A+
Patient comes in with symptoms of mania followed by periods of depression; what
is it? - Correct answer-bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it? - Correct answer-bipolar 2
how many symptoms of mania must you have to have "full" mania? - Correct
answer-seven of thirteen
what is the difference between mania and hypomania? - Correct answer-hypomania
has less severe symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia - Correct 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 - Correct answer-a form of depression that is not severe enough to be
diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - Correct 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? - Correct answer-SIADH
what medical problems mimic mood disorders? - Correct answer-hypothyroid-
depression
hyperthyroid- mania
involuntary admission - Correct answer-hurt yourself
hurt someone else
inability to care for self
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,Carbamazepine (Tegretol) - Correct 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? - Correct
answer-carbamazepine, lithium, valproic acid
Mood Disorder Questionnaire - Correct answer-Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
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, how is the PHQ-9 scored - Correct answer-1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - Correct answer-assessment that evaluates the degree of depression
What is the DSM criteria for Major Depressive Disorder? - Correct 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? - Correct answer-episodic:
symptoms dissipate over time
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Graded A+
Patient comes in with symptoms of mania followed by periods of depression; what
is it? - Correct answer-bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it? - Correct answer-bipolar 2
how many symptoms of mania must you have to have "full" mania? - Correct
answer-seven of thirteen
what is the difference between mania and hypomania? - Correct answer-hypomania
has less severe symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Dysthymia - Correct answer-a form of depression that is not severe enough to be
diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - Correct 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? - Correct answer-SIADH
what medical problems mimic mood disorders? - Correct answer-hypothyroid-
depression
hyperthyroid- mania
involuntary admission - Correct answer-hurt yourself
hurt someone else
inability to care for self
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,Carbamazepine (Tegretol) - Correct 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? - Correct
answer-carbamazepine, lithium, valproic acid
Mood Disorder Questionnaire - Correct answer-Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, how is the PHQ-9 scored - Correct answer-1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - Correct answer-assessment that evaluates the degree of depression
What is the DSM criteria for Major Depressive Disorder? - Correct 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? - Correct answer-episodic:
symptoms dissipate over time
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
