NSG 322 Bipolar & Schizophrenia Exam 3: Bipolar I & II, Cyclothymia,
Hypomania, Mania, Mixed Episodes, Rapid Cycling, Psychotic Disorders,
Schizoaffective, Delusional, Brief Psychotic, Schizophreniform, Positive &
Negative Symptoms, Command Hallucinations, Catatonia, Alogia, Auditory
Hallucinations, Antipsychotics FGA/SGA/TGA, Lithium, Valproate,
Carbamazepine, Lamotrigine, ECT, rTMS, EPS, TD, NMS, Acute Dystonia,
Clozapine, LAIs, Interpersonal Therapy, CBT, IPSRT, Comorbidities, Risk Factors,
MSE, Mental Health Nursing, Pharmacology, Mood Stabilizers, Psychosocial
Assessment, Recovery-Oriented Care, Suicide Risk, Neurobiology Exam
Questions Verified and Provided with Complete A+ Graded Rationales Latest
Updated 2026
Bipolar I disorder
- Most severe form w/ highest mortality rate
- must have at least 1 manic episode
- Cycles between manic and severe depression
- average age of onset: 18
- extreme shifts in activity levels, energy, ability to function in roles and even ability to complete
ADLs such as eating or sleeping.
COMORBIDIDTIES
,- 75% have anxiety disorders
- ADHD, Impulse Control or Conduct Disorders
- 50%+ Substance Abuse
- Migraines, metabolic syndrome
- if Bipolar is mistaken for ADHD in child, and child given stimulant, can trigger mania
Bipolar II disorder
- At least 1 hypomanic episode and At least 1 major depressive episode
- average age of onset: 20
- cycles of hypomania lasting at least four days, and major depression.
- no impairment or occupational functioning
COMORBIDITIES:
- Eating disorders
,- Anxiety
Manic Episodes
- Lasts one week. Extremely Goal oriendted/driven. I.E.:
- client may buy 72 pairs of shoes, or hike 40 miles while staying awake for 24 hours straight,
without feeling tired, drinking or eating
- high risk behaviors, and sometimes Psychosis
- psychiatric emergency
- creates disturbing and exaggerated ways of viewing themselves, others and the world in
clients.
Cyclothymic disorder
- mood fluctuations for over 2 years between hypomania and mild depression. No symptom-
free period for more than 2 months.
- Less severe than Bipolar 2, can cycle rapidly between mild hypomania and mild depression
(not technically labeled as "Rapid Cycling" though)
, Hypomania
- Low-level, less dramatic mania
- Euphoric, increases functioning
- Usually accompanied by excessive activity and energy
- NO psychosis
Major Depressive Episodes
- At least two weeks of persistent sadness or loss of interest or pleasure in almost all activities.
- changes in appetite or weight,
- sleep disturbances,
- fatigue
- feelings of worthlessness or guilt
- difficulty concentrating
- thoughts of death or suicide.
These episodes result in noticeable impairment in daily life.
Hypomania, Mania, Mixed Episodes, Rapid Cycling, Psychotic Disorders,
Schizoaffective, Delusional, Brief Psychotic, Schizophreniform, Positive &
Negative Symptoms, Command Hallucinations, Catatonia, Alogia, Auditory
Hallucinations, Antipsychotics FGA/SGA/TGA, Lithium, Valproate,
Carbamazepine, Lamotrigine, ECT, rTMS, EPS, TD, NMS, Acute Dystonia,
Clozapine, LAIs, Interpersonal Therapy, CBT, IPSRT, Comorbidities, Risk Factors,
MSE, Mental Health Nursing, Pharmacology, Mood Stabilizers, Psychosocial
Assessment, Recovery-Oriented Care, Suicide Risk, Neurobiology Exam
Questions Verified and Provided with Complete A+ Graded Rationales Latest
Updated 2026
Bipolar I disorder
- Most severe form w/ highest mortality rate
- must have at least 1 manic episode
- Cycles between manic and severe depression
- average age of onset: 18
- extreme shifts in activity levels, energy, ability to function in roles and even ability to complete
ADLs such as eating or sleeping.
COMORBIDIDTIES
,- 75% have anxiety disorders
- ADHD, Impulse Control or Conduct Disorders
- 50%+ Substance Abuse
- Migraines, metabolic syndrome
- if Bipolar is mistaken for ADHD in child, and child given stimulant, can trigger mania
Bipolar II disorder
- At least 1 hypomanic episode and At least 1 major depressive episode
- average age of onset: 20
- cycles of hypomania lasting at least four days, and major depression.
- no impairment or occupational functioning
COMORBIDITIES:
- Eating disorders
,- Anxiety
Manic Episodes
- Lasts one week. Extremely Goal oriendted/driven. I.E.:
- client may buy 72 pairs of shoes, or hike 40 miles while staying awake for 24 hours straight,
without feeling tired, drinking or eating
- high risk behaviors, and sometimes Psychosis
- psychiatric emergency
- creates disturbing and exaggerated ways of viewing themselves, others and the world in
clients.
Cyclothymic disorder
- mood fluctuations for over 2 years between hypomania and mild depression. No symptom-
free period for more than 2 months.
- Less severe than Bipolar 2, can cycle rapidly between mild hypomania and mild depression
(not technically labeled as "Rapid Cycling" though)
, Hypomania
- Low-level, less dramatic mania
- Euphoric, increases functioning
- Usually accompanied by excessive activity and energy
- NO psychosis
Major Depressive Episodes
- At least two weeks of persistent sadness or loss of interest or pleasure in almost all activities.
- changes in appetite or weight,
- sleep disturbances,
- fatigue
- feelings of worthlessness or guilt
- difficulty concentrating
- thoughts of death or suicide.
These episodes result in noticeable impairment in daily life.
