NURS 451 TEST 2: BIPOLAR AND SCHIZOPHRENIA EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATE 2025/2026

NURS 451 TEST 2: BIPOLAR AND SCHIZOPHRENIA EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATE 2025/2026 Terms in this set (79) Mood Bipolar is a disorder Bipolar I At least one episode of mania or mixed, alternating with major depression No euthymia 18 y/o men Bipolar II Hypomania, then major depression 20 y/o women Cyclothymia Hypomania, then minor depression NO history of MDD or mixed episodes! Mania 1 Week of elevated, expansive, or irritable mood Hypomania 4 Weeks of less extremely elevated, expansive, or irritable mood Mixed _ episode is at least 1 week of daily mania and depression Mania Hallmark of is constant motor activity Mania To be dx with , patient must have three or more of DIGFAST - Distractable - Insomnia - Grandiose - Flight of ideas - Agitation - Speech - Thoughlessness (Impulsivity) Lithium DOC for mania True True/False There are no psychotic features in hypomania Mixed episode Patient meets full criteria for manic or hypomanic episode and three of the following: 1. Prominent dysphoria or depressed mood (sad; angry) 2. Diminished interest or pleasure 3. Psychomotor retardation 4. Fatigue or loss of energy 5. Feelings of worthlessness or excessive, inappropriate guilt 6. Recurrent thoughts of death, SI, or suicide attempt, or specific plan Panic attacks most common comorbidity with bipolar disorder Rapid cycling Patient has 4 or more mood episodes in 12 month period Bipolar Neuroendocrine factors involved in disorder - NE - Dopamine - Serotonin Bipolar The Maslow priority for disorder would regard not eating/sleeping False True/False Clients with mania are prone to social isolation True True/False Manic patients need to eat on the move; do not force them to sit at table! 300-600 Active phase dose of lithium ____ mg 2-3 times per day PO to reach level of 1.0-1.5 0.6-1.2 Maintenance blood level of lithium Lithium Side effects of _______ - Tremor - Nausea -Thirst - Polyurea - Thyroid goiter