1|Page
NURS 663 EXAM 1 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
What might be observed when taking valproic acid during
pregnancy? - ANSWER-AVOID USE
Neural tube defects
How is lithium toxicity graded by blood trough level, and what
symptoms would you see? - ANSWER-mild (1.5-2) - vomiting,
diarrhea, ataxia, dizziness, slurred speech, nystagmus
Moderate (2.0-2.4) nausea, vomiting, anorexia, blurred vision, clonic
limb movements, convulsions, delirium, syncope
Severe (>2.5) oliguria, renal failure, generalized convulsions
What medication decreases suicide rates? - ANSWER-lithium
Why does lithium cause weight gain? - ANSWER-water retention
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
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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
Moods are always irregular- not ever to a full extreme
Dysthymia - ANSWER-a form of depression that is not severe enough
to be diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - ANSWER-syndrome of inappropriate antidiuretic hormone
Will retain water
Hyponatremia will be observed
What is something you should watch out for if a patient is on
multiple antidepressants? - ANSWER-SIADH
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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)
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
NURS 663 EXAM 1 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
What might be observed when taking valproic acid during
pregnancy? - ANSWER-AVOID USE
Neural tube defects
How is lithium toxicity graded by blood trough level, and what
symptoms would you see? - ANSWER-mild (1.5-2) - vomiting,
diarrhea, ataxia, dizziness, slurred speech, nystagmus
Moderate (2.0-2.4) nausea, vomiting, anorexia, blurred vision, clonic
limb movements, convulsions, delirium, syncope
Severe (>2.5) oliguria, renal failure, generalized convulsions
What medication decreases suicide rates? - ANSWER-lithium
Why does lithium cause weight gain? - ANSWER-water retention
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
,2|Page
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
Moods are always irregular- not ever to a full extreme
Dysthymia - ANSWER-a form of depression that is not severe enough
to be diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - ANSWER-syndrome of inappropriate antidiuretic hormone
Will retain water
Hyponatremia will be observed
What is something you should watch out for if a patient is on
multiple antidepressants? - ANSWER-SIADH
, 3|Page
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)
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
