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NURS 663 Exam 1 Study Guide 100% Correct Answers Verified Latest 2024 Version

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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...

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  • July 3, 2024
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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

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