NR 670 Quiz 4
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NUR 670 Quiz 4
1. Which of the following are NOT true about people experiencing hypomanic
episodes
a. They are easily distracted, have racing thoughts and many unfinished
projects.
b. They must be hospitalized for at least four days
c. They do not experience marked impairment in social functioning.
d. They are generally less severe than manic episodes.
b. They must be hospitalized for at least four days
2. A young pharmacist is diagnosed with bipolar II disorder. You can expect
that she will experience:
a. Hypomanic episodes
b. Both manic and hypomanic episodes
c. Full manic episodes
d. Hypo depression and manic episodes
a. Hypomanic episodes
3. Unipolar mania
a. Is rare but does exist
b. Does not exist
c. Fairly common
d. Is part of bipolar disorder
a. Is rare but does exist
4. Which of the following is not true about a manic episode:
a. It does contribute to the definition of severe mood disorders
b. It is not necessarily viewed as problematic to the patient
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c. It causes marked impairment in social and occupational functioning
d. It only last four days when left untreated
d. It only last four days when left untreated
5. When manic episodes alternate with depressive episodes the disorder is
correctly diagnosed as
a. Hypomanic disorder
b. MDD
c. Bipolar I disorder
d. Bipolar II disorder
c. Bipolar I disorder
6. Bipolar II disorder consists of
a. Depression with anxiety
b. Depression with mania
c. Depression with dysthymia
d. Depression with hypomanic episodes
d. Depression with hypomanic episodes
7. Mrs. Q is a 57-year-old menopausal woman with a twenty-year history of
mood disorder. She has a medical history of hyperthyroidism and is a
recovering alcoholic. Over the last year alone she has suffered from five mood
episodes, after changing to a new psych NP. She is currently being treated
with Valproic Acid and Fluoxetine. It's most likely that is associated with her
recent mood changes.
a. Antidepressant use
b. Menopause
c. Hyperthyroidism
d. Alcohol abuse
a. Antidepressant use
8. A 15-year-old boy stayed awake for five days to formulate the elaborate plan
to cure AIDS with oxygen therapy. To providing funding for this because he
has withdrawn all the money from the elderly neighbor's bank account and
purchased thousands of zip loc bags and small boxes to put his intervention
in and sell them through Amazon. When he appeared at a hospital emergency
room loudly demanding in the name of patients with AIDS, he was hospitalized
for psychiatric observation for two weeks, what is your diagnosis?
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a. Bipolar I
b. Psychosis
c. Bipolar II with major depression
d. MDD
a. Bipolar I
9. The rapid cycling specifiers refers to an individual with bipolar disorder that
experiences at least
manic or depressive episodes in a year
a. 6
b. 4
c. 8
d. 2
b. 4
Rapid Cycling. Some patients experience frequent manic episodes. When a
patient has at least four such episodes in a year, we diagnose them with the
rapid cycling subtype of bipolar I disorder. Patients with rapid cycling bipolar I
disorder are likely to be female and to have had depressive and hypomanic
episodes. No data indicate that rapid cycling has a familial pattern of
inheritance; thus, an external factor such as stress or drug treatment may
provoke rapid cycling.
10. Which of the following statements about lithium is true:
a. The usual dose is 500-1000g daily
b. NSAIDS are the only meds that don't reduce serum lithium levels
c. The therapeutic lithium level should be above 3.0mEq/L
d. Parkinsonism is a common side effect of lithium therapy
d. Parkinsonism is a common side effect of lithium therapy
11. A relative of yours has been diagnosed with bipolar II disorder. Your family
is impressed when you mention that the preferred drug or this choice is
a. Lithium
b. Fluoxetine (Prozac)
c. Lamotrigine (Lamictal)
d. An antipsychotic