2024 NURS 663 EXAM 1 WITH
CORRECT ANSWERS
what are risk factors for suicide? - CORRECT-ANSWERS- Gender: men are
more likely to complete suicide
- Age: men 45 years +; women 55 years +
o Suicide is the 3rd leading cause of death in 15-24-year-olds
- Race: Caucasian, Native American, Alaskan native, and immigrants
- Divorce
- Widows
- High-ranking jobs and unemployment
- Physicians
- MDD most common mental illness associated, schizophrenia, and alcohol
use disorder
- Past suicide attempt (might be the best indicator)
what is the criteria for involuntary commitment? - CORRECT-
ANSWERSDanger to self (suicide)
Danger to others (homicide)
Gravely disabled d/t mental illness (unable to provide food, clothing, shelter)
- Courts must have probable case hearing within 96 hours of admission
What is vagus nerve stimulation? - CORRECT-ANSWERS--For Tx of treatment-
resistant MDD
implantation of a device that causes intermittent electrical stimulation of
vagus nerve
Patient comes in with symptoms of mania followed by periods of depression;
what is it? - CORRECT-ANSWERSbipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by
periods of depression, what is it? - CORRECT-ANSWERSbipolar 2
how many symptoms of mania must you have to have "full" mania? -
CORRECT-ANSWERSseven of thirteen
what is the difference between mania and hypomania? - CORRECT-
ANSWERShypomania has less severe symptoms; 3 symptoms over shorter
period of time (hypomania)
Cyclothymia - CORRECT-ANSWERSa 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 - CORRECT-ANSWERSa form of depression that is not severe
enough to be diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - CORRECT-ANSWERSsyndrome 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? - CORRECT-ANSWERSSIADH
what medical problems mimic mood disorders? - CORRECT-
ANSWERShypothyroid- depression
hyperthyroid- mania
involuntary admission - CORRECT-ANSWERShurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) - CORRECT-ANSWERSmood 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? -
CORRECT-ANSWERScarbamazepine, lithium, valproic acid
Mood Disorder Questionnaire - CORRECT-ANSWERSScreens for Bipolar
Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored - CORRECT-ANSWERS1-4 minimal depression
, 5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - CORRECT-ANSWERSassessment that evaluates the degree of
depression
What is the DSM criteria for Major Depressive Disorder? - CORRECT-
ANSWERS**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? - CORRECT-ANSWERSepisodic:
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? - CORRECT-ANSWERS- 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? - CORRECT-
ANSWERS- With psychotic features: hallucinations, paranoia
- In partial remission: some symptoms still present, but full criteria not met;
period without any significant
symptoms lasting less than 2 months
- In full remission: no signs/symptoms >2 months
- Unspecified: symptoms vague, hard to tell
DSM 5 for bipolar I disorder - CORRECT-ANSWERSdepression + mania
DSM 5 for bipolar 2 disorder - CORRECT-ANSWERSdepression + hypomania
CORRECT ANSWERS
what are risk factors for suicide? - CORRECT-ANSWERS- Gender: men are
more likely to complete suicide
- Age: men 45 years +; women 55 years +
o Suicide is the 3rd leading cause of death in 15-24-year-olds
- Race: Caucasian, Native American, Alaskan native, and immigrants
- Divorce
- Widows
- High-ranking jobs and unemployment
- Physicians
- MDD most common mental illness associated, schizophrenia, and alcohol
use disorder
- Past suicide attempt (might be the best indicator)
what is the criteria for involuntary commitment? - CORRECT-
ANSWERSDanger to self (suicide)
Danger to others (homicide)
Gravely disabled d/t mental illness (unable to provide food, clothing, shelter)
- Courts must have probable case hearing within 96 hours of admission
What is vagus nerve stimulation? - CORRECT-ANSWERS--For Tx of treatment-
resistant MDD
implantation of a device that causes intermittent electrical stimulation of
vagus nerve
Patient comes in with symptoms of mania followed by periods of depression;
what is it? - CORRECT-ANSWERSbipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by
periods of depression, what is it? - CORRECT-ANSWERSbipolar 2
how many symptoms of mania must you have to have "full" mania? -
CORRECT-ANSWERSseven of thirteen
what is the difference between mania and hypomania? - CORRECT-
ANSWERShypomania has less severe symptoms; 3 symptoms over shorter
period of time (hypomania)
Cyclothymia - CORRECT-ANSWERSa 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 - CORRECT-ANSWERSa form of depression that is not severe
enough to be diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH - CORRECT-ANSWERSsyndrome 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? - CORRECT-ANSWERSSIADH
what medical problems mimic mood disorders? - CORRECT-
ANSWERShypothyroid- depression
hyperthyroid- mania
involuntary admission - CORRECT-ANSWERShurt yourself
hurt someone else
inability to care for self
Carbamazepine (Tegretol) - CORRECT-ANSWERSmood 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? -
CORRECT-ANSWERScarbamazepine, lithium, valproic acid
Mood Disorder Questionnaire - CORRECT-ANSWERSScreens for Bipolar
Disorder
7+ is a positive screening
4-5 might be hypomania
how is the PHQ-9 scored - CORRECT-ANSWERS1-4 minimal depression
, 5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe
PHQ-9 - CORRECT-ANSWERSassessment that evaluates the degree of
depression
What is the DSM criteria for Major Depressive Disorder? - CORRECT-
ANSWERS**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? - CORRECT-ANSWERSepisodic:
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? - CORRECT-ANSWERS- 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? - CORRECT-
ANSWERS- With psychotic features: hallucinations, paranoia
- In partial remission: some symptoms still present, but full criteria not met;
period without any significant
symptoms lasting less than 2 months
- In full remission: no signs/symptoms >2 months
- Unspecified: symptoms vague, hard to tell
DSM 5 for bipolar I disorder - CORRECT-ANSWERSdepression + mania
DSM 5 for bipolar 2 disorder - CORRECT-ANSWERSdepression + hypomania
