NURS 663 EXAM 1 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
ADHD and bipolar similarities - correct answer-
1. increase of activity, impulsivity and poor
concentration--inconsistent in one; consistent in the other
2. mood changes: several days for one; within the day for
the other
3. emotional dysregulation spectrum in one; while the
other is more cognitive in nature
4. One is more agitated; the other is more hyperactive
5. One is pressured/diff to stop/may not make sense; the
other is just hypertalkative
6. One may not need sleep; the other usually not impaired
sleep
all atypical antipsychotics - correct answer-
share a class warning for causing weight gain and risks for
obesity, dyslipidemia, diabetes, accelerated
cardiovascular disease, and even premature death, there
is actually a spectrum of risk among the various agents
,Anti-depressant education - correct answer-
Always teach the Black Box warning for incr SI risk up to
24 y/o.
anti-depressants - correct answer- class not
used w/bipolar disorder
bipolar acute and mixed mania - correct answer-
aripiprazole, risperidone, olanzapine (13+), quetiapine
(acute only), asenapine (10+)
Bipolar age of onset - correct answer- 5-50 y/o
with average around 30 y/o
bipolar and females - correct answer- more
likely to experience rapids cycling and mixed states and
more likely to experience depression
Bipolar I criteria - correct answer- One manic
episode required
, bipolar meds: depression - correct answer-
lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
Bipolar risk factors for bipolar - correct answer-
1. more common in high-income than low income
countries.
2. Separated, widowed, divorced persons higher risk for
bipolar I but not sure why.
3.genetic and physiological: family history is one of the
strongest and most consistent risk factors; Magnitude incr
with incr of kinship. Schizophrenia and
____________share genetic origin: co-aggregation of both
in families.
4. Responses to trialed SSRIs (NOT a dx confirmation)
4. comorbid substance use
5. Anxiety disorder
Bipolar vs ADHD: same - correct answer-
irritability, hyperactivity, restlessness, impulsivity,
oppositional, increased energy
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
ADHD and bipolar similarities - correct answer-
1. increase of activity, impulsivity and poor
concentration--inconsistent in one; consistent in the other
2. mood changes: several days for one; within the day for
the other
3. emotional dysregulation spectrum in one; while the
other is more cognitive in nature
4. One is more agitated; the other is more hyperactive
5. One is pressured/diff to stop/may not make sense; the
other is just hypertalkative
6. One may not need sleep; the other usually not impaired
sleep
all atypical antipsychotics - correct answer-
share a class warning for causing weight gain and risks for
obesity, dyslipidemia, diabetes, accelerated
cardiovascular disease, and even premature death, there
is actually a spectrum of risk among the various agents
,Anti-depressant education - correct answer-
Always teach the Black Box warning for incr SI risk up to
24 y/o.
anti-depressants - correct answer- class not
used w/bipolar disorder
bipolar acute and mixed mania - correct answer-
aripiprazole, risperidone, olanzapine (13+), quetiapine
(acute only), asenapine (10+)
Bipolar age of onset - correct answer- 5-50 y/o
with average around 30 y/o
bipolar and females - correct answer- more
likely to experience rapids cycling and mixed states and
more likely to experience depression
Bipolar I criteria - correct answer- One manic
episode required
, bipolar meds: depression - correct answer-
lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
Bipolar risk factors for bipolar - correct answer-
1. more common in high-income than low income
countries.
2. Separated, widowed, divorced persons higher risk for
bipolar I but not sure why.
3.genetic and physiological: family history is one of the
strongest and most consistent risk factors; Magnitude incr
with incr of kinship. Schizophrenia and
____________share genetic origin: co-aggregation of both
in families.
4. Responses to trialed SSRIs (NOT a dx confirmation)
4. comorbid substance use
5. Anxiety disorder
Bipolar vs ADHD: same - correct answer-
irritability, hyperactivity, restlessness, impulsivity,
oppositional, increased energy
