ANCC Certification Chapter 7part 3 Exam Questions and Correct Answers

ANCC Certification Chapter 7part 3 Exam Questions and Correct Answers Mood disturbance often of both polarities, depression & expansive or manic: - ANSWER Bipolar disorder Name the three patterns of symptoms with bipolar disorder: - ANSWER Single polarity only, manic symptoms only or cyclic symptom patterns of alternating polarity, or mixed polarity symptoms Bipolar illness affects - ANSWER Behavioral, affective, cognitive & somatic symptoms May have precipitating event, situation or concern but - ANSWER Often occurs without any precipitating stressor identified. Etiological factors include complex genetic, environmental and _____________ factors. - ANSWER Biochemical Kindling - ANSWER The process of neuronal membrane threshold sensitivity dysfunction Biological theories of Bipolar Disorder (BD) - ANSWER Neurotransmitter deregulation; gamma-aminobutyric (GABA) deregulation; increased noradrenergic activity; voltage-gated ion channel abnormalities; abnormalities lead to abnormal balances of intracellular and extracellular levels of neurotransmitters, which cause disruption of electric signal transmission in brain; kindling; long-lasting, epileptogenic changes induced by daily subthreshold brain stimulation; brain overly sensitive to electrical stimuli, neuronal misfiring occurs - may occur without stimuli. Risk of Bipolar disorder - ANSWER 0.7% of general population at risk; 2.3 million American adults; 1.2% of adult population (U.S.) older than age 18 Mean age of onset of Bipolar Disorder - ANSWER early 20's Genetic loading/FH of first-order relative having MDD or BD disorder is a ... - ANSWER Risk factor for Bipolar Disorder _____% increased risk if relative has BD disorder Type I - ANSWER 24 _____% increased risk if relative has BD disorder Type II - ANSWER 5 _____% increased risk if relative has MDD - ANSWER 25 Diagnostic criteria for BD includes a period of abnormally or persistently elevated, expansive or irritable mood, lasting - ANSWER For at least one week Diagnostic criteria for BD: mood episode has - ANSWER Rapid development and escalation of symptoms over a few days