NURS 663 Exam 1 Study Guide | 100% Correct
Answers | Verified | Latest 2024 Version
Patient comes in with symptoms of mania followed by periods of depression; what is it? - ✔✔bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is
it? - ✔✔bipolar 2
how many symptoms of mania must you have to have "full" mania? - ✔✔seven of thirteen
what is the difference between mania and hypomania? - ✔✔hypomania has less severe symptoms; 3
symptoms over shorter period of time (hypomania)
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
Dysthymia - ✔✔a form of depression that is not severe enough to be diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - ✔✔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? - ✔✔SIADH
,what medical problems mimic mood disorders? - ✔✔hypothyroid- depression
hyperthyroid- mania
involuntary admission - ✔✔hurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) - ✔✔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? - ✔✔carbamazepine, lithium, valproic
acid
Mood Disorder Questionnaire - ✔✔Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored - ✔✔1-4 minimal depression
5-9 mild depression
, 10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - ✔✔assessment that evaluates the degree of depression
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
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)
how is the severity of depression rated? - ✔✔- Mild: no suicidal thoughts/death wishes
- Moderate: some thoughts of death/self-harm
- Severe: plan/attempted
what other modifiers might be present with diagnosis of MDD? - ✔✔- With psychotic features:
hallucinations, paranoia
Answers | Verified | Latest 2024 Version
Patient comes in with symptoms of mania followed by periods of depression; what is it? - ✔✔bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is
it? - ✔✔bipolar 2
how many symptoms of mania must you have to have "full" mania? - ✔✔seven of thirteen
what is the difference between mania and hypomania? - ✔✔hypomania has less severe symptoms; 3
symptoms over shorter period of time (hypomania)
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
Dysthymia - ✔✔a form of depression that is not severe enough to be diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - ✔✔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? - ✔✔SIADH
,what medical problems mimic mood disorders? - ✔✔hypothyroid- depression
hyperthyroid- mania
involuntary admission - ✔✔hurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) - ✔✔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? - ✔✔carbamazepine, lithium, valproic
acid
Mood Disorder Questionnaire - ✔✔Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored - ✔✔1-4 minimal depression
5-9 mild depression
, 10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - ✔✔assessment that evaluates the degree of depression
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
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)
how is the severity of depression rated? - ✔✔- Mild: no suicidal thoughts/death wishes
- Moderate: some thoughts of death/self-harm
- Severe: plan/attempted
what other modifiers might be present with diagnosis of MDD? - ✔✔- With psychotic features:
hallucinations, paranoia
