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Nurs 663- Exam 1 Questions And Answers.

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  • October 4, 2024
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  • 2024/2025
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Wisdoms
Nurs 663- Exam 1 Questions And Answers



Patient comes in with symptoms of mania followed by periods of depression; what is it? - correct Answers ✔✔ -bipolar
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patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is it? - correct
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Answers ✔✔ -bipolar 2
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how many symptoms of mania must you have to have "full" mania? - correct Answers ✔✔ -seven of thirteen
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what is the difference between mania and hypomania? - correct Answers ✔✔ -hypomania has less severe symptoms; 3
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symptoms over shorter period of time (hypomania)
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Cyclothymia - correct Answers ✔✔ -a disorder that consists of mood swings from moderate depression to hypomania and
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lasts two years or more
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moods are always irregular- not ever to a full extreme
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Dysthymia - correct Answers ✔✔ -a form of depression that is not severe enough to be diagnosed as major depression
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"eeyore" always kind of down and depressed
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SIADH - correct Answers ✔✔ -syndrome of inappropriate antidiuretic hormone
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will retain water
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hyponatremia will be observed ik. ik. ik.




what is something you should watch out for if a patient is on multiple antidepressants? - correct Answers ✔✔ -SIADH
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what medical problems mimic mood disorders? - correct Answers ✔✔ -hypothyroid- depression
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hyperthyroid- mania ik.




involuntary admission - correct Answers ✔✔ -hurt yourself ik. ik. ik. ik. ik. ik. ik.



hurt someone else
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inability to care for self ik. ik. ik. ik.




Carbamazepine (Tegretol) - correct Answers ✔✔ -mood stabilizer ik. ik. ik. ik. ik. ik. ik.




indication: bipolar disorder ik. ik.




major side effects:
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CYP 450: (inducer- speeds up metabolism of other drugs)
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, patient education: ik.




what 3 medications must have blood draws associated with them? - correct Answers ✔✔ -carbamazepine, lithium,
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valproic acid
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Mood Disorder Questionnaire - correct Answers ✔✔ -Screens for Bipolar Disorder
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7+ is a positive screening
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4-5 might be hypomania
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how is the PHQ-9 scored - correct Answers ✔✔ -1-4 minimal depression
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5-9 mild depressionik. ik.



10-14 moderate depression ik. ik.



15-19 moderately severe ik. ik.



20 + severe ik. ik.




PHQ-9 - correct Answers ✔✔ -assessment that evaluates the degree of depression
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What is the DSM criteria for Major Depressive Disorder? - correct Answers ✔✔ -**no history of mania, hypo, or mixed
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symptoms
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symptoms >2 weeks ik. ik.




must have: sadness, anhedonia (loss pleasure/interest)
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4 of following: - appetite/sleep changes, psychomotor retardation, lack of energy, guilt/worthlessness, issues w/
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concentration, thoughts suicide/death
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What are the "frequency" modifiers for MDD? - correct Answers ✔✔ -episodic: symptoms dissipate over time
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recurrent: likely to reappear in future ik. ik. ik. ik. ik. ik.




subclinical: sadness + 3 symptoms > 10 days (full criteria not met) ik. ik. ik. ik. ik. ik. ik. ik. ik. ik. ik.




how is the severity of depression rated? - correct Answers ✔✔ -- Mild: no suicidal thoughts/death wishes
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- Moderate: some thoughts of death/self-harm
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- Severe: plan/attempted
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what other modifiers might be present with diagnosis of MDD? - correct Answers ✔✔ -- With psychotic features:
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hallucinations, paranoia
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- In partial remission: some symptoms still present, but full criteria not met; period without any significant
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symptoms lasting less than 2 months ik. ik. ik. ik. ik.




- In full remission: no signs/symptoms >2 months
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- Unspecified: symptoms vague, hard to tell
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DSM 5 for bipolar I disorder - correct Answers ✔✔ -depression + mania
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