NURS 663 EXAM 3 (PERSONALITY DISORDERS) | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION (JUST RELEASED)
Lithium labs - (CORRECT ANSWER)level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH
bipolar meds: depression - (CORRECT ANSWER)lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
bipolar acute and mixed mania - (CORRECT ANSWER)aripiprazole, risperidone, olanzapine (13+),
quetiapine (acute only), asenapine (10+)
classic mood stabilizers - (CORRECT ANSWER)Lamotrigine (excellent medication to use), lithium,
Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no evidence for
true Bipolar disorder)
anti-depressants - (CORRECT ANSWER)class not used w/bipolar disorder
lithium - (CORRECT ANSWER)Anti-manic, antidepressant, anti-suicidal
Lithium side effects - (CORRECT ANSWER)Frequent urination, increased thirst, weight gain, sedation
lithium toxicity - (CORRECT ANSWER)sudden onset tremors, N/V/D, muscle weakness, slurred speech,
confusion, seizures (slowing down, feel really out of it)
Major Depressive Disorder Dx - (CORRECT ANSWER)5+ for at least a 2-week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be irritability in children & adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
1
, 5. Fatigue or loss of energy
6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness (don't confuse with ADHD, address mood
first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal plan/intent: if hosp then 2 wk not req.
SLAP - (CORRECT ANSWER)Social supports; lethal; access to means; plan and previous attempt
Suicide risk: IS PATH WARM - (CORRECT ANSWER)Ideation, substance abuse, purpose to live gone;
anxiety, trapped feeling; hopelessness, w/d from soc supports, anger w/rage; reckless, dramatic moods
SIGECAPS - (CORRECT ANSWER)Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor,
Suicide
bipolar vs unipolar: look at bipolar if - (CORRECT ANSWER)1. family hx: 1st degree relatives
2. Substance use: chasing high or low
3. Response to SSRI: no resp to multiple tries or evidence of mania with use (not diagnostic)
Bipolar I criteria - (CORRECT ANSWER)One manic episode required
Mania - (CORRECT ANSWER)elevated, expansive, energetic + 3, (unless irritable
mood then requires 4+)
1. SX Lastat least one week-any duration if hosp
2. Inflated self-esteem, grandiosity
3. Decreased need for sleep
4. More talkative, pressure to keep talking
5. Flight of ideas or racing thoughts
2
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION (JUST RELEASED)
Lithium labs - (CORRECT ANSWER)level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH
bipolar meds: depression - (CORRECT ANSWER)lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
bipolar acute and mixed mania - (CORRECT ANSWER)aripiprazole, risperidone, olanzapine (13+),
quetiapine (acute only), asenapine (10+)
classic mood stabilizers - (CORRECT ANSWER)Lamotrigine (excellent medication to use), lithium,
Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no evidence for
true Bipolar disorder)
anti-depressants - (CORRECT ANSWER)class not used w/bipolar disorder
lithium - (CORRECT ANSWER)Anti-manic, antidepressant, anti-suicidal
Lithium side effects - (CORRECT ANSWER)Frequent urination, increased thirst, weight gain, sedation
lithium toxicity - (CORRECT ANSWER)sudden onset tremors, N/V/D, muscle weakness, slurred speech,
confusion, seizures (slowing down, feel really out of it)
Major Depressive Disorder Dx - (CORRECT ANSWER)5+ for at least a 2-week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be irritability in children & adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
1
, 5. Fatigue or loss of energy
6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness (don't confuse with ADHD, address mood
first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal plan/intent: if hosp then 2 wk not req.
SLAP - (CORRECT ANSWER)Social supports; lethal; access to means; plan and previous attempt
Suicide risk: IS PATH WARM - (CORRECT ANSWER)Ideation, substance abuse, purpose to live gone;
anxiety, trapped feeling; hopelessness, w/d from soc supports, anger w/rage; reckless, dramatic moods
SIGECAPS - (CORRECT ANSWER)Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor,
Suicide
bipolar vs unipolar: look at bipolar if - (CORRECT ANSWER)1. family hx: 1st degree relatives
2. Substance use: chasing high or low
3. Response to SSRI: no resp to multiple tries or evidence of mania with use (not diagnostic)
Bipolar I criteria - (CORRECT ANSWER)One manic episode required
Mania - (CORRECT ANSWER)elevated, expansive, energetic + 3, (unless irritable
mood then requires 4+)
1. SX Lastat least one week-any duration if hosp
2. Inflated self-esteem, grandiosity
3. Decreased need for sleep
4. More talkative, pressure to keep talking
5. Flight of ideas or racing thoughts
2
