NURS 663 EXAM 1/ Study Guide Maryville- Actual
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what medical problems mimic mood disorders? - Answer-
hypothyroid- depression
hyperthyroid- mania
involuntary admission - Answer-hurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) - Answer-mood stabilizer
indication: bipolar disorder
major side effects:
CYP 450: (inducer- speeds up metabolism of other drugs)
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patient education:
what 3 medications must have blood draws associated
with them? - Answer-carbamazepine, lithium, valproic acid
Mood Disorder Questionnaire - Answer-Screens for
Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored - Answer-1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - Answer-assessment that evaluates the degree of
depression
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What is the DSM criteria for Major Depressive Disorder? -
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
What are the "frequency" modifiers for MDD? - Answer-
episodic: symptoms dissipate over time
recurrent: likely to reappear in future
subclinical: sadness + 3 symptoms > 10 days (full criteria
not met)
how is the severity of depression rated? - Answer-- Mild:
no suicidal thoughts/death wishes
- Moderate: some thoughts of death/self-harm
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- Severe: plan/attempted
what other modifiers might be present with diagnosis of
MDD? - Answer-- With psychotic features: hallucinations,
paranoia
Patient comes in with symptoms of mania followed by
periods of depression; what is it? - Answer-bipolar 1
patient comes in with hypomania/regular mood (euthymic)
followed by periods of depression, what is it? - Answer-
bipolar 2
how many symptoms of mania must you have to have
"full" mania? - Answer-seven of thirteen
what is the difference between mania and hypomania? -
Answer-hypomania has less severe symptoms; 3
symptoms over shorter period of time (hypomania)
Cyclothymia - Answer-a disorder that consists of mood
swings from moderate depression to hypomania and lasts
two years or more