NURS 451 Test 2: Bipolar and Schizophrenia Questions And Answers With Latest Updates

Bipolar is a ______ disorder - Answer-Mood At least one episode of mania or mixed, alternating with major depression No euthymia 18 y/o men - Answer-Bipolar I Hypomania, then major depression 20 y/o women - Answer-Bipolar II Hypomania, then minor depression NO history of MDD or mixed episodes! - Answer-Cyclothymia 1 Week of elevated, expansive, or irritable mood - Answer-Mania 4 Weeks of less extremely elevated, expansive, or irritable mood - Answer-Hypomania ________ episode is at least 1 week of daily mania and depression - Answer-Mixed Hallmark of _______ is constant motor activity - Answer-Mania To be dx with ______, patient must have three or more of DIGFAST - Distractable - Insomnia - Grandiose - Flight of ideas- Agitation - Speech - Thoughlessness (Impulsivity) - Answer-Mania DOC for mania - Answer-Lithium True/False There are no psychotic features in hypomania - Answer-True Patient meets full criteria for manic or hypomanic episode and three of the following: 1. Prominent dysphoria or depressed mood (sad; angry) 2. Diminished interest or pleasure 3. Psychomotor retardation 4. Fatigue or loss of energy 5. Feelings of worthlessness or excessive, inappropriate guilt 6. Recurrent thoughts of death, SI, or suicide attempt, or specific plan - Answer-Mixed episode most common comorbidity with bipolar disorder - Answer-Panic attacks Patient has 4 or more mood episodes in 12 month period - Answer-Rapid cycling Neuroendocrine factors involved in _________ disorder - NE - Dopamine - Serotonin - Answer-Bipolar The Maslow priority for ______ disorder would regard not eating/sleeping - Answer-Bipolar True/FalseClients with mania are prone to social isolation - Answer-False True/False Manic patients need to eat on the move; do not force them to sit at table! - Answer-True Active phase dose of lithium ____ mg 2-3 times per day PO to reach level of 1.0-1.5 - Answer-300-600 Maintenance blood level of lithium - Answer-0.6-1.2 Side effects of _______ - Tremor - Nausea -Thirst - Polyurea - Thyroid goiter - Answer-Lithium