NURS 663 - EXAM 1 - SOLUTIONS. Patient comes in with symptoms of ma...

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NURS 663 - EXAM 1

ACTUAL EXAM WITH CORRECT

SOLUTIONS.

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 1 / 4

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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 2 / 4

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hurt someone else inability to care for self

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 3 / 4

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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

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