Bio NUR 114 Final Exam
Comprehensive Questions
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Bipolar I disorder characterized by - Answer: at least one week long
manic episode that results in excessive activity. Mostly mania with mix
of depression
Mania can be - Answer: euphoric or dysphoric
,Bipolar II disorder - Answer: mostly depression and hypomania. Early
ages of 20 and 60 years old. Not severe enough to impair
social/occupational life.
Cyclothymic disorder - Answer: cycle in and out of hypomania (no
delusions and hallucinations) and depression. Two years for an adult, 1
year for a child
Bipolar II disorders are more common - Answer: among females
More than half the people with bipolar disorder have - Answer: have
another psychiatric disorder, most being panic attacks, social phobia,
etc.
Bipolar disorders have a strong - Answer: heritability
Diathesis stress model - Answer: genetic predisposition or chemical
imbalance may never experience symptoms, until an event triggers the
disorder.
Bipolar disorder may be more common in - Answer: upper
socioeconomic classes
,For Bipolar, Early diagnosis and treatment is key in - Answer: preventing
suicide attempts, alcohol/substance abuse, marital/work problems, etc.
Mania characteristics - Answer: ○ Mood - highly unstable. May laugh or
joke or speak in a continuous stream. Mood can quickly change to
irritation or anger. Patients have high self confidence and know no
strangers. Excessive spending, elaborate schemes.
○ Behavior- constant activity and reduced need for sleep prevent
proper rest. Non stop physical activity can lead to physical exhaustion
and death if not treated; this is an EMERGENCY! Act on impulses.
○ Thought processes and speech patterns- flight of ideas is continuous
flow of accelerated speech- change in topic and plays on word. Speech
is usually loud, vulgar and sexua. Clang associations are stringing words
together based on their rhyming sounds.
For Mania, Always assess if the patient is - Answer: a danger to self or
others
With people with mania, nurses need to - Answer: SET LIMITS!
Consistency is key among staff if limit setting is to be carried out
consistently.
Big diagnosis for mania is - Answer: RISK FOR INJURY
, Acute phase - Answer: primary outcome is injury prevention- stabilizing
the patient (hydrating, maintaining cardiac status, getting enough sleep
and rest)
Continuation phase - Answer: focuses on adhering to the medication
regimen and preventing relapse
Maintenance therapy - Answer: focuses on relapse prevention and
limitation of further episodes
Meds to use during acute phase - Answer: use Lithium and Lamictal are
the first line of treatment for someone with bipolar disorder
Lithium - Answer: naturally occurring salt in the body- effective in tx of
bipolar I disorder- start low and go slow- takes about 10-21 days to be
effective- must reach therapeutic level to be effective (7-14 days)- 0.4-
1.3 mEq/L-levels should not exceed 1.5 (considered toxic)- Should be
taken 5 days after beginning lithium therapy- after therapeutic levels
are reached, check every month- after 6 months of stability, levels
should be checked every 3 months. Risks are hypothyroidism and
impairment of the kidneys. Be sure patients know they need to
continually take medication. IF DIARRHEA, VOMITING OR SWEATING
OCCURS STOP LITHIUM AND CONTACT YOUR PHYSICIAN. Take with
meal, do not take with diuretics.
Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Helping Students Achieve Academic Excellence
Bipolar I disorder characterized by - Answer: at least one week long
manic episode that results in excessive activity. Mostly mania with mix
of depression
Mania can be - Answer: euphoric or dysphoric
,Bipolar II disorder - Answer: mostly depression and hypomania. Early
ages of 20 and 60 years old. Not severe enough to impair
social/occupational life.
Cyclothymic disorder - Answer: cycle in and out of hypomania (no
delusions and hallucinations) and depression. Two years for an adult, 1
year for a child
Bipolar II disorders are more common - Answer: among females
More than half the people with bipolar disorder have - Answer: have
another psychiatric disorder, most being panic attacks, social phobia,
etc.
Bipolar disorders have a strong - Answer: heritability
Diathesis stress model - Answer: genetic predisposition or chemical
imbalance may never experience symptoms, until an event triggers the
disorder.
Bipolar disorder may be more common in - Answer: upper
socioeconomic classes
,For Bipolar, Early diagnosis and treatment is key in - Answer: preventing
suicide attempts, alcohol/substance abuse, marital/work problems, etc.
Mania characteristics - Answer: ○ Mood - highly unstable. May laugh or
joke or speak in a continuous stream. Mood can quickly change to
irritation or anger. Patients have high self confidence and know no
strangers. Excessive spending, elaborate schemes.
○ Behavior- constant activity and reduced need for sleep prevent
proper rest. Non stop physical activity can lead to physical exhaustion
and death if not treated; this is an EMERGENCY! Act on impulses.
○ Thought processes and speech patterns- flight of ideas is continuous
flow of accelerated speech- change in topic and plays on word. Speech
is usually loud, vulgar and sexua. Clang associations are stringing words
together based on their rhyming sounds.
For Mania, Always assess if the patient is - Answer: a danger to self or
others
With people with mania, nurses need to - Answer: SET LIMITS!
Consistency is key among staff if limit setting is to be carried out
consistently.
Big diagnosis for mania is - Answer: RISK FOR INJURY
, Acute phase - Answer: primary outcome is injury prevention- stabilizing
the patient (hydrating, maintaining cardiac status, getting enough sleep
and rest)
Continuation phase - Answer: focuses on adhering to the medication
regimen and preventing relapse
Maintenance therapy - Answer: focuses on relapse prevention and
limitation of further episodes
Meds to use during acute phase - Answer: use Lithium and Lamictal are
the first line of treatment for someone with bipolar disorder
Lithium - Answer: naturally occurring salt in the body- effective in tx of
bipolar I disorder- start low and go slow- takes about 10-21 days to be
effective- must reach therapeutic level to be effective (7-14 days)- 0.4-
1.3 mEq/L-levels should not exceed 1.5 (considered toxic)- Should be
taken 5 days after beginning lithium therapy- after therapeutic levels
are reached, check every month- after 6 months of stability, levels
should be checked every 3 months. Risks are hypothyroidism and
impairment of the kidneys. Be sure patients know they need to
continually take medication. IF DIARRHEA, VOMITING OR SWEATING
OCCURS STOP LITHIUM AND CONTACT YOUR PHYSICIAN. Take with
meal, do not take with diuretics.
