NRNP 6566 WEEK 5 KNOWLEDGE CHECK
PRACTICE SOLUTION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ Pharmacologic Treatment of Bipolar Disorder. Answer: Lithium
Anticonvulsants
Second generation antipsychotics
◉ Mood disorders: role of the psychiatric mental health nurse
practitioner (PMHNP) is to. Answer: determine the malfunctioning
brain circuit responsible for the client's presenting symptoms and
select the appropriate medication that targets the associated
neurotransmitter(s)
◉ Mood disorders manifest across a spectrum from:. Answer: mania
to major depressive disorder (MDD)
◉ Unipolar depression. Answer: major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had episode in last year,
prevalence highest (13.1%) among individuals aged 18-25
S/S
,-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy, concentration, or self-worth
-severe depression: may experience thoughts of suicide or psychotic
symptoms.
◉ Bipolar disorder (BD). Answer: Chronic condition characterized
by extreme fluctuations in mood, energy, and ability to function
-Moods may be manic, hypomanic, or depressed and may include
mixed mood or psychotic features
-many have only experienced only one manic episode in their
lifetime
-Mood fluctuations may be separated by periods of high stability or
may cycle rapidly
-diagnosed when a client has one or more episodes of mania or
hypomania with a history of one or more major depressive episodes
-high risk for suicide
◉ mania. Answer: characterized by a persistently elevated,
expansive, or irritable mood. Related symptoms may include inflated
self-esteem, increased goal-directed activity or energy, including
grandiosity, decreased need for sleep, excessive talkativeness, racing
,thoughts, flight of ideas (FOI), distractibility, psychomotor agitation,
and a propensity to be involved in high-risk activities. Mania leads to
significant functional impairment and may include psychotic
features or necessitate hospitalization
◉ Bipolar Type I:. Answer: requires at least one episode of mania for
at least one week (or any duration if hospitalization due to
symptoms is required)
◉ Bipolar Type II:. Answer: diagnosis requires a current or past
hypomanic episode and a current or past major depressive episode.
Symptoms last for at least 4 days but fewer than seven.
-Hypomanic symptoms are not of sufficient duration or severity to
cause significant functional impairment, psychosis, or
hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are reluctant to report
these symptoms, making bipolar more difficult to diagnose if the
client presents in the depression phase.
◉ Cyclothymia:. Answer: involves the chronic presentation of
hypomanic and depressive symptoms that do not meet the
diagnostic criteria for a major depressive or manic/hypomanic
episode.
, ◉ If bipolar depression is mistaken for MDD:. Answer:
antidepressant therapy may precipitate a manic episode or induce
rapid-cycling bipolar depression
-may contribute to the increased incidence of death by suicide in
children and adults younger than 25
◉ Antidepressants are used cautiously in clients with bipolar
disorder and never as ________________.. Answer: monotherapy
-Antidepressants should be combined with a mood stabilizer to
prevent the onset of a hypomanic or manic episode
◉ DA, NE Dysfunction causes what mood related symptoms.
Answer: Decreased positive affect:
depressed mood
loss of joy
lack of interest
loss of energy
decreased alertness
decreased self-confidence
appetite changes
◉ 5HT, NE Dysfunction causes what mood related symptoms.
Answer: Increased negative affect:
depressed mood
PRACTICE SOLUTION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ Pharmacologic Treatment of Bipolar Disorder. Answer: Lithium
Anticonvulsants
Second generation antipsychotics
◉ Mood disorders: role of the psychiatric mental health nurse
practitioner (PMHNP) is to. Answer: determine the malfunctioning
brain circuit responsible for the client's presenting symptoms and
select the appropriate medication that targets the associated
neurotransmitter(s)
◉ Mood disorders manifest across a spectrum from:. Answer: mania
to major depressive disorder (MDD)
◉ Unipolar depression. Answer: major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had episode in last year,
prevalence highest (13.1%) among individuals aged 18-25
S/S
,-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy, concentration, or self-worth
-severe depression: may experience thoughts of suicide or psychotic
symptoms.
◉ Bipolar disorder (BD). Answer: Chronic condition characterized
by extreme fluctuations in mood, energy, and ability to function
-Moods may be manic, hypomanic, or depressed and may include
mixed mood or psychotic features
-many have only experienced only one manic episode in their
lifetime
-Mood fluctuations may be separated by periods of high stability or
may cycle rapidly
-diagnosed when a client has one or more episodes of mania or
hypomania with a history of one or more major depressive episodes
-high risk for suicide
◉ mania. Answer: characterized by a persistently elevated,
expansive, or irritable mood. Related symptoms may include inflated
self-esteem, increased goal-directed activity or energy, including
grandiosity, decreased need for sleep, excessive talkativeness, racing
,thoughts, flight of ideas (FOI), distractibility, psychomotor agitation,
and a propensity to be involved in high-risk activities. Mania leads to
significant functional impairment and may include psychotic
features or necessitate hospitalization
◉ Bipolar Type I:. Answer: requires at least one episode of mania for
at least one week (or any duration if hospitalization due to
symptoms is required)
◉ Bipolar Type II:. Answer: diagnosis requires a current or past
hypomanic episode and a current or past major depressive episode.
Symptoms last for at least 4 days but fewer than seven.
-Hypomanic symptoms are not of sufficient duration or severity to
cause significant functional impairment, psychosis, or
hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are reluctant to report
these symptoms, making bipolar more difficult to diagnose if the
client presents in the depression phase.
◉ Cyclothymia:. Answer: involves the chronic presentation of
hypomanic and depressive symptoms that do not meet the
diagnostic criteria for a major depressive or manic/hypomanic
episode.
, ◉ If bipolar depression is mistaken for MDD:. Answer:
antidepressant therapy may precipitate a manic episode or induce
rapid-cycling bipolar depression
-may contribute to the increased incidence of death by suicide in
children and adults younger than 25
◉ Antidepressants are used cautiously in clients with bipolar
disorder and never as ________________.. Answer: monotherapy
-Antidepressants should be combined with a mood stabilizer to
prevent the onset of a hypomanic or manic episode
◉ DA, NE Dysfunction causes what mood related symptoms.
Answer: Decreased positive affect:
depressed mood
loss of joy
lack of interest
loss of energy
decreased alertness
decreased self-confidence
appetite changes
◉ 5HT, NE Dysfunction causes what mood related symptoms.
Answer: Increased negative affect:
depressed mood
