MENTAL HEALTH FINAL EXAM 3 FINAL SCRIPT
2026 COMPLETE SOLUTION SET
◉ Bipolar Etiology. Answer: several genes contribute to the
expression
strong significance of higher inheritability
increase in excitatory neurotransmitters: serotonin, dopamine,
norepinephrine
◉ Bipolar I Disorder. Answer: a type of bipolar disorder marked by
full manic and major depressive episodes
-switching process
◉ Bipolar II Disorder. Answer: a type of bipolar disorder marked by
mildly manic (hypomanic) episodes and major depressive episodes
◉ Cyclothymic Disorder (Cyclothymia). Answer: Milder, chronic
form of bipolar disorder
Lasts at least 2 years in adults, 1 year in children/adolescents
Numerous periods with hypomanic and depressive symptoms
,Does not meet criteria for mania or major depressive episode
Symptoms do not clear for more than 2 months at a time
◉ Rapid Cycling Bipolar Disorder. Answer: diagnosis given when a
person has four or more cycles of mania and depression within 1
year
-more severe symptoms than bipolar I or II
-greater resistance to treatment
◉ Hypomania vs Mania. Answer: hypomania: a milder form of
elevated mood that are less severe and cause less impairment than
full mania and (usually) don't require hospitalization
◉ Labile. Answer: Changing rapidly and often in moods
-mania
◉ Mania Symptoms. Answer: DIG FAST.
Distractable.
Insomina
Grandiose.
Flight of ideas.
Active.
,Speech pressured.
Taking risks.
◉ Mania Nursing Interventions. Answer: Develop trusting
relationship
Self-awareness
Administer anti-mania medication
Set and enforce limits on inappropriate behavior
Redirect patient where appropriate
Protect from self-embarrassment
Provide for physical safety
Provide Balance for activity and rest
Facilitate sleep
Ensure nutrition
Provide Self-care
◉ Severe Lithium Toxicity Symptoms. Answer:
Confusion/hallucinations
Nystagmus
Dysarthria
Fasciculations
, ◉ Valproic Acid Range. Answer: 50-125
◉ Lithium Range. Answer: 0.6-1.2
◉ Tegretol Therapeutic Range. Answer: 4-12
◉ Steven Johnson Syndrome (SJS). Answer: Severe blistering of the
skin, with mucous membrane involvement and fever
-can be fatal
-SE of Lamictal (anticonvulsnat)
◉ Tegretol (Carbamazepine) Toxicity. Answer: Diplopia, ataxia,
blood dyscrasias (agranulocytosis, aplastic anemia), liver toxicity,
teratogenesis, Stevens-Johnson syndrome
◉ What medications can cause Steven's Johnson Syndrome?.
Answer: tegretol
clozapine
clozaril
◉ Rule out Mania. Answer: drugs
metabolic disorders (hypoglycemia, calcium disfunction)
brain abnormalities (tumor)
2026 COMPLETE SOLUTION SET
◉ Bipolar Etiology. Answer: several genes contribute to the
expression
strong significance of higher inheritability
increase in excitatory neurotransmitters: serotonin, dopamine,
norepinephrine
◉ Bipolar I Disorder. Answer: a type of bipolar disorder marked by
full manic and major depressive episodes
-switching process
◉ Bipolar II Disorder. Answer: a type of bipolar disorder marked by
mildly manic (hypomanic) episodes and major depressive episodes
◉ Cyclothymic Disorder (Cyclothymia). Answer: Milder, chronic
form of bipolar disorder
Lasts at least 2 years in adults, 1 year in children/adolescents
Numerous periods with hypomanic and depressive symptoms
,Does not meet criteria for mania or major depressive episode
Symptoms do not clear for more than 2 months at a time
◉ Rapid Cycling Bipolar Disorder. Answer: diagnosis given when a
person has four or more cycles of mania and depression within 1
year
-more severe symptoms than bipolar I or II
-greater resistance to treatment
◉ Hypomania vs Mania. Answer: hypomania: a milder form of
elevated mood that are less severe and cause less impairment than
full mania and (usually) don't require hospitalization
◉ Labile. Answer: Changing rapidly and often in moods
-mania
◉ Mania Symptoms. Answer: DIG FAST.
Distractable.
Insomina
Grandiose.
Flight of ideas.
Active.
,Speech pressured.
Taking risks.
◉ Mania Nursing Interventions. Answer: Develop trusting
relationship
Self-awareness
Administer anti-mania medication
Set and enforce limits on inappropriate behavior
Redirect patient where appropriate
Protect from self-embarrassment
Provide for physical safety
Provide Balance for activity and rest
Facilitate sleep
Ensure nutrition
Provide Self-care
◉ Severe Lithium Toxicity Symptoms. Answer:
Confusion/hallucinations
Nystagmus
Dysarthria
Fasciculations
, ◉ Valproic Acid Range. Answer: 50-125
◉ Lithium Range. Answer: 0.6-1.2
◉ Tegretol Therapeutic Range. Answer: 4-12
◉ Steven Johnson Syndrome (SJS). Answer: Severe blistering of the
skin, with mucous membrane involvement and fever
-can be fatal
-SE of Lamictal (anticonvulsnat)
◉ Tegretol (Carbamazepine) Toxicity. Answer: Diplopia, ataxia,
blood dyscrasias (agranulocytosis, aplastic anemia), liver toxicity,
teratogenesis, Stevens-Johnson syndrome
◉ What medications can cause Steven's Johnson Syndrome?.
Answer: tegretol
clozapine
clozaril
◉ Rule out Mania. Answer: drugs
metabolic disorders (hypoglycemia, calcium disfunction)
brain abnormalities (tumor)
