Quiz 3: NURS 222 - Mental Health Exam
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hypomania - ANSWERS-- less severe episode of mania that lasts at least 4 days
accompanied by three or more manifestations of mania.
- Hospitalization is not required, and the client who has hypomania is less impaired.
- Hypomania can progress to mania.
Rapid cycling - ANSWERS-Four or more episodes of hypomania or acute mania within
1 year and associated with increase recurrence rate and resistance to treatment.
Bipolar I disorder: - ANSWERS-client has at least one episode of mania alternating with
major depression.
Bipolar II disorder: - ANSWERS-one or more hypomanic episodes alternating with major
depressive episodes.
,Cyclothymic disorder: - ANSWERS-at least 2 years of repeated hypomanic
manifestations that do not meet the criteria for hypomanic episodes alternating with
minor depressive episodes.
risk factors for bipolar disorder - ANSWERS-- Genetics: Having an immediate family
member who has a bipolar disorder.
- Physiological: Neurobiologic and neuroendocrine disorders.
- Environmental: Increased stress in the environment can trigger mania and depression
and increase risk for severe manifestations in genetically-susceptible children.
bipolar disorder Relapse - ANSWERS-- Use of substances (alcohol, cocaine, caffeine)
can lead to an episode of mania.
- Sleep disturbances can come before, be associated with, or be brought on by an
episode of mania.
- Psychological stressors can trigger an episode of mania.
nursing care for Acute manic episode - ANSWERS-- Provide a safe environment during
the acute phase.
- Assess the client regularly for suicidal thoughts, intentions, and escalating behavior.
- decrease stimulation w/o isolating patient
- Monitoring sleep, fluid intake, and nutrition.
- PROVIDE FINGER FOODS since pt might not sit down
bipolar acute phase - ANSWERS-- Hospitalization can be required.
- Reduction of mania and client safety are the goals of treatment.
- Risk of harm to self or others is determined.
- One-to-one supervision can be indicated for client safe
bipolar disorders - ANSWERS-- mood disorders with recurrent episodes of depression
and mania.
- usually emerge in early adulthood,
, - manifestations can mimic expected findings of ADHD
- Periods of normal functioning alternate with periods of illness, though some clients are
not able to maintain full occupational and social functioning
bipolar continuation phase - ANSWERS-- Treatment is generally 4 to 9 months in
duration.
- Relapse prevention through education, medication adherence, and psychotherapy is
the goal of treatment.
bipolar Maintenance phase - ANSWERS-- Treatment generally continues throughout
the client's lifetime.
- Prevention of future manic episodes is the goal of treatment.
mania - ANSWERS-- abnormally elevated mood, which can also be described as
expansive or irritable;
- usually requires hospitalization.
- Manic episodes last at least 1 week.
Mood stabilizers: lithium carbonate - ANSWERS-- produces neurochemical changes in
the brain, including serotonin receptor blockade.
- (BLOCKS SEROTONIN)
- controls episodes of acute mania, - helps to prevent the return of mania or depression,
and decreases the incidence of suicide.
pt education for lithium - ANSWERS-Some adverse effects resolve within a few weeks
of starting the medication.
- maximum benefits might not be seen for 2-3 weeks
- effects begin within 5-7 days
- medication must be administered in 2 to 3 doses daily due to a short half-life
- adhere to mediction!
2026 MOST RecentTested,Actual Exam
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(100% Accurate Solutions) ||ALREADY
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hypomania - ANSWERS-- less severe episode of mania that lasts at least 4 days
accompanied by three or more manifestations of mania.
- Hospitalization is not required, and the client who has hypomania is less impaired.
- Hypomania can progress to mania.
Rapid cycling - ANSWERS-Four or more episodes of hypomania or acute mania within
1 year and associated with increase recurrence rate and resistance to treatment.
Bipolar I disorder: - ANSWERS-client has at least one episode of mania alternating with
major depression.
Bipolar II disorder: - ANSWERS-one or more hypomanic episodes alternating with major
depressive episodes.
,Cyclothymic disorder: - ANSWERS-at least 2 years of repeated hypomanic
manifestations that do not meet the criteria for hypomanic episodes alternating with
minor depressive episodes.
risk factors for bipolar disorder - ANSWERS-- Genetics: Having an immediate family
member who has a bipolar disorder.
- Physiological: Neurobiologic and neuroendocrine disorders.
- Environmental: Increased stress in the environment can trigger mania and depression
and increase risk for severe manifestations in genetically-susceptible children.
bipolar disorder Relapse - ANSWERS-- Use of substances (alcohol, cocaine, caffeine)
can lead to an episode of mania.
- Sleep disturbances can come before, be associated with, or be brought on by an
episode of mania.
- Psychological stressors can trigger an episode of mania.
nursing care for Acute manic episode - ANSWERS-- Provide a safe environment during
the acute phase.
- Assess the client regularly for suicidal thoughts, intentions, and escalating behavior.
- decrease stimulation w/o isolating patient
- Monitoring sleep, fluid intake, and nutrition.
- PROVIDE FINGER FOODS since pt might not sit down
bipolar acute phase - ANSWERS-- Hospitalization can be required.
- Reduction of mania and client safety are the goals of treatment.
- Risk of harm to self or others is determined.
- One-to-one supervision can be indicated for client safe
bipolar disorders - ANSWERS-- mood disorders with recurrent episodes of depression
and mania.
- usually emerge in early adulthood,
, - manifestations can mimic expected findings of ADHD
- Periods of normal functioning alternate with periods of illness, though some clients are
not able to maintain full occupational and social functioning
bipolar continuation phase - ANSWERS-- Treatment is generally 4 to 9 months in
duration.
- Relapse prevention through education, medication adherence, and psychotherapy is
the goal of treatment.
bipolar Maintenance phase - ANSWERS-- Treatment generally continues throughout
the client's lifetime.
- Prevention of future manic episodes is the goal of treatment.
mania - ANSWERS-- abnormally elevated mood, which can also be described as
expansive or irritable;
- usually requires hospitalization.
- Manic episodes last at least 1 week.
Mood stabilizers: lithium carbonate - ANSWERS-- produces neurochemical changes in
the brain, including serotonin receptor blockade.
- (BLOCKS SEROTONIN)
- controls episodes of acute mania, - helps to prevent the return of mania or depression,
and decreases the incidence of suicide.
pt education for lithium - ANSWERS-Some adverse effects resolve within a few weeks
of starting the medication.
- maximum benefits might not be seen for 2-3 weeks
- effects begin within 5-7 days
- medication must be administered in 2 to 3 doses daily due to a short half-life
- adhere to mediction!
