Mental Health Exam 2 Latest Version(Updated 2024) with complete
solution
1. Which psychotropic medication is administered based on an
individual- ized dosage according to blood levels of the drug?:
Lithium carbonate
2. Which of the following is an anticonvolusant used as a mood
stabilizer?-
: Divalproex (Depakote)
3. The nurse is caring for a patient diagnosed with bipolar disorder who
has been prescribed divalproex (Depakote). The nurse knows that the
patient should have which blood test completed before initiation of
drug therapy?-
: Liver function test
4. Describe the differences between Bipolar I and Bipolar II: Bipolar I:
Mania
+ depression
Bipolar II: Hypomania + depression
5. Which of the following medication classifications are considered
the first-class for bipolar disease: Mood stabilizer
6. To confirm that a client is experiencing a manic episode, the client's
symptoms such as pressured speech and decreased sleep needs must:
Not be related to substance abuse
7. addiction: continued use despite adverse consequences
8. use: ingestion, smoking, sniffing or injection of mind-altering
substance
9. abuse: use for purposes of intoxication or beyond intended use
10.withdrawal: symptoms occurring when substance no longer used
11.detoxification: process for safe withdrawal
12.relapse: recurrence of use
13.mania: an abnormally and persistently:
*Elevated mood: euphoria or elation
*Expansive mood: lack of restraints in expression; overvalued self-
importance
*Irritable mood: easily annoyed and provoked
1/8
,to anger need for sleep in decreased, energy is
increased speech is pressured (push of
speech)
can be excessive involvement in pleasurable activities with little regard
for painful consequences (excessive spending, risky sexual behavior,
drug or alcohol abuse)
primary symptom of bipolar disorder
2/8
, 14.expansive: lack of restraint in expressing feelings; an overvalued
sense of self-importance
15.grandiosity: exaggerated personal importance
16.manic episode: distinct period of abnormally and persistently
elevated, expan- sive, or irritable mood with abnormally increased
goal-directed behavior or energy
17.mood lability: rapid shifts in moods with little or no change in
external events
- often occur in bipolar disease
18.cyclothymic disorder: hypomanic and depressive periods for at
least 2 years (children 1 year) without meeting criteria of bipolar I or
bipolar II disorder
19.mixed episode: when mania and depression occur at the same
time, which leads to extreme anxiety, agitation, and irritability
20.children younger than 9 years old with bipolar disease: exhibit
more irri- tability and emotional lability
21.older adults with bipolar disorder: more neurological
abnormalities and cognitive disturbances - instances of mania
decreases with age
22.risk factors of bipolar disease: family history of mood disorder;
prior mood episodes; lack of social support, stressful life events;
substance use; and medical problems
23.euphoria: exaggerated feeling of well-being
24. A client with mania is in a dining room at lunchtime and is observed
taking food from other clients' trays. The nurse's intervention should
be based on what rationale?: Other clients need to be protected from
the intrusive behavior
25.Epidemiology of Bipolar Disorder: > Symptoms typically before age
25
>No gender differences in incidence
>Female patients at greater risk for depression and rapid cycling
than male patients
>Male patients at greater risk for manic episodes
> Common comorbid conditions: anxiety disorders (most prevalent:
panic disorder and social phobia) and substance use
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