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Exam (elaborations)

RN Bipolar and Related Disorders 2022.

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  • September 13, 2024
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  • 2024/2025
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RN Bipolar and Related Disorders 2022

Bipolar and Related Disorders - ANSWER: Found between the chapters on
schizophrenia spectrum and other psychotic disorders and depressive disorders in
DSM-5-TR, representing a bridge between those two diagnostic classes in terms of
symptomatology, family history, and genetics.

Bipolar I Disorder - ANSWER: Criteria represent the modern understanding of the
classic manic-depressive disorder, requiring a distinct period of abnormally elevated
mood and increased activity lasting at least 1 week.

Bipolar II Disorder - ANSWER: Requires the lifetime experience of at least one major
depressive episode and at least one hypomanic episode, but no history of mania,
often accompanied by serious impairment in work and social functioning.

Cyclothymic Disorder - ANSWER: Given to adults who experience at least 2 years of
both hypomanic and depressive periods without fulfilling the criteria for an episode
of mania, hypomania, or major depression.

Substance/Medication-Induced Bipolar and Related Disorder - ANSWER: Associated
with manic-like phenomena due to substances of abuse, some prescribed
medications, or several medical conditions.

Other Specified Bipolar and Related Disorder - ANSWER: Recognizes individuals with
bipolar-like symptoms not meeting criteria for bipolar I, bipolar II, or cyclothymic
disorder.

Unspecified Bipolar and Related Disorder - ANSWER: Category for individuals with
symptoms that do not fit specific bipolar and related disorder diagnoses.

Manic Episode - ANSWER: Characterized by abnormally elevated mood, increased
activity, and specific symptoms lasting at least 1 week, leading to marked
impairment in social or occupational functioning.

Hypomanic Episode - ANSWER: Distinct period of abnormally elevated mood and
increased activity lasting at least 4 consecutive days, with symptoms not severe
enough to cause marked impairment in social or occupational functioning.

Major Depressive Episode - ANSWER: Involves five or more specific symptoms
present during a 2-week period, including depressed mood or loss of interest or
pleasure, leading to a change from previous functioning.

Depressed mood - ANSWER: Feeling sad, empty, or hopeless most of the day

Diminished interest - ANSWER: Marked lack of pleasure in activities

, Weight changes - ANSWER: Significant weight loss or gain, or appetite changes

Insomnia - ANSWER: Difficulty sleeping most days

Psychomotor agitation - ANSWER: Observable restlessness or slowed movements

Fatigue - ANSWER: Loss of energy daily

Feelings of worthlessness - ANSWER: Excessive guilt or self-reproach

Diminished ability to concentrate - ANSWER: Inability to focus or make decisions

Suicidal ideation - ANSWER: Recurrent thoughts of death or suicide

Clinically significant distress - ANSWER: Symptoms impair social or occupational
functioning

Bipolar I Disorder criteria - ANSWER: Requires at least one manic episode

Manic episode features - ANSWER: Elevated, expansive, or irritable mood with
increased activity

Rapid cycling specifier - ANSWER: Pattern of frequent mood shifts

Melancholic features specifier - ANSWER: Depressive episode with specific
characteristics

Peripartum onset specifier - ANSWER: Onset during pregnancy or postpartum period

Inflated self-esteem - ANSWER: Ranges from uncritical confidence to marked
grandiosity

Grandiose delusions - ANSWER: Beliefs of special relationships to famous persons

Decreased need for sleep - ANSWER: Sleeping little or waking early feeling rested

Rapid speech - ANSWER: Speech characterized by speed, loudness, and difficulty to
interrupt

Flight of ideas - ANSWER: Thoughts racing faster than can be expressed through
speech

Distractibility - ANSWER: Inability to focus on relevant stimuli, hindering rational
conversation

Increased goal-directed activity - ANSWER: Excessive planning and participation in
various activities

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