Nurs 663- Exam 1 Questions with Answers
1. Patient comes in with symptoms of mania followed by periods of depression; what is it?:
bipolar 1
2. patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it?: bipolar 2
3. how many symptoms of mania must you have to have "full" mania?: seven of thirteen
4. what is the difference between mania and hypomania?: hypomania has less severe symptoms; 3
symptoms over shorter period of time (hypomania)
5. Cyclothymia: 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
6. Dysthymia: a form of depression that is not severe enough to be diagnosed as major depression
"eeyore" always kind of down and depressed
7. SIADH: syndrome of inappropriate antidiuretic hormone will retain
water
hyponatremia will be observed
8. what is something you should watch out for if a patient is on multiple
antidepressants?: SIADH
9. what medical problems mimic mood disorders?: hypothyroid- depression
hyperthyroid- mania
,10. involuntary admission: hurt
yourself hurt someone else
inability to care for self
11. Carbamazepine (Tegretol): mood stabilizer
indication: bipolar disorder
major side ettects:
CYP 450: (inducer- speeds up metabolism of other drugs)
patient education:
12. what 3 medications must have blood draws associated with them?: carba- mazepine,
lithium, valproic acid
13. Mood Disorder Questionnaire: Screens for Bipolar Disorder 7+
is a positive screening
4-5 might be hypomania
14. how is the PHQ-9 scored: 1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
15. PHQ-9: assessment that evaluates the degree of depression
16. What is the DSM criteria for Major Depressive Disorder?: **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
17. What are the "frequency" modifiers for MDD?: episodic: symptoms dissipate over time
recurrent: likely to reappear in future
subclinical: sadness + 3 symptoms > 10 days (full criteria not met)
18. how is the severity of depression rated?: - Mild: no suicidal thoughts/death wishes
- Moderate: some thoughts of death/self-harm
- Severe: plan/attempted
19. what other modifiers might be present with diagnosis of MDD?: - With psychotic features:
hallucinations, paranoia
- In partial remission: some symptoms still present, but full criteria not met; period without any significant symptoms lasting
less than 2 months
- In full remission: no signs/symptoms >2 months
- Unspecified: symptoms vague, hard to tell
1. Patient comes in with symptoms of mania followed by periods of depression; what is it?:
bipolar 1
2. patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it?: bipolar 2
3. how many symptoms of mania must you have to have "full" mania?: seven of thirteen
4. what is the difference between mania and hypomania?: hypomania has less severe symptoms; 3
symptoms over shorter period of time (hypomania)
5. Cyclothymia: 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
6. Dysthymia: a form of depression that is not severe enough to be diagnosed as major depression
"eeyore" always kind of down and depressed
7. SIADH: syndrome of inappropriate antidiuretic hormone will retain
water
hyponatremia will be observed
8. what is something you should watch out for if a patient is on multiple
antidepressants?: SIADH
9. what medical problems mimic mood disorders?: hypothyroid- depression
hyperthyroid- mania
,10. involuntary admission: hurt
yourself hurt someone else
inability to care for self
11. Carbamazepine (Tegretol): mood stabilizer
indication: bipolar disorder
major side ettects:
CYP 450: (inducer- speeds up metabolism of other drugs)
patient education:
12. what 3 medications must have blood draws associated with them?: carba- mazepine,
lithium, valproic acid
13. Mood Disorder Questionnaire: Screens for Bipolar Disorder 7+
is a positive screening
4-5 might be hypomania
14. how is the PHQ-9 scored: 1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
15. PHQ-9: assessment that evaluates the degree of depression
16. What is the DSM criteria for Major Depressive Disorder?: **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
17. What are the "frequency" modifiers for MDD?: episodic: symptoms dissipate over time
recurrent: likely to reappear in future
subclinical: sadness + 3 symptoms > 10 days (full criteria not met)
18. how is the severity of depression rated?: - Mild: no suicidal thoughts/death wishes
- Moderate: some thoughts of death/self-harm
- Severe: plan/attempted
19. what other modifiers might be present with diagnosis of MDD?: - With psychotic features:
hallucinations, paranoia
- In partial remission: some symptoms still present, but full criteria not met; period without any significant symptoms lasting
less than 2 months
- In full remission: no signs/symptoms >2 months
- Unspecified: symptoms vague, hard to tell
