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NURS 663 Questions and Answers (100% Pass)
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Bipolar I Disorder Criteria At least one lifetime manic episode is required for this diagnosis. A distinct period of abnormally and persistently elevated, expensive, or irritable mood and abnormally and persistently increased goal directed activity or energy, lasting at least one week and p...

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  • October 12, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nurs 663 questions and answers 100 pass
  • bipolar i disorder criteria at least one lifetim

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1 | P a g e | © copyright 2024/2025 | Grade A+




NURS 663 Questions and Answers
(100% Pass)
Bipolar I Disorder Criteria


✓ At least one lifetime manic episode is required for this diagnosis. A

distinct period of abnormally and persistently elevated, expensive, or

irritable mood and abnormally and persistently increased goal

directed activity or energy, lasting at least one week and present most

of the days nearly every day or any duration if hospitalization is

necessary.

The episode is not attributable to the physiological effects of a substance

example a drug of abused a medication, other treatment or to another

medical condition. Note; for manic episode that emerges during

antidepressant treatment example medication, electroconvulsive therapy,

but persist at a fully syndromal level beyond the physiological effect of the

treatment is sufficient evidence for manic episode And therefore this

diagnosis.




Bipolar II Diagnostic Criteria


✓ Criteria have been met for at least one hypomanic episode AND at

least one major depressive episode




Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

*there has never been a manic episode*




-not better explained by...


-the symptoms of depression or the unpredictability caused by frequent

alternation between periods of depression and hypomania causes clinically

significant distress or impairment in social, occupational or other important

areas of functioning




Specifiers:


-with anxious distress


-with mixed features


-with rapid cycling (at least 4 mood episodes in past 12 months)


-with melancholic features


-with atypical features


-with mood-congruent psychotic features


-with mood-incongruent psychotic features


-with catatonia


-with peripartum onset


-with seasonal pattern



Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+




*Note* difference between cyclothymia and bipolar II


-bipolar II has ONE OR MORE MAJOR DEPRESSIVE EPISODES


-if major depressive episode occurs after the first 2 years of cyclothymic

disorder, the additional diagnosis of bipolar II is given




cyclothymic disorder


✓ This diagnosis is given to adults who experience at least two years or

for children one year of both hypo manic and depressive periods

without fulfilling the criteria for an episode of mania, hypo mania, or

major depression.




Bipolar I disorder


✓ must meet criteria for a manic episode. A distinct period of abnormally

and persistently elevated, expansive, or irritable mood and abnormally

and persistently increased goal directed activity or energy lasting at

least one week. During the mood disturbance three other symptoms

must be present, or four if the mood is only irritable.




Bipolar I disorder symptoms




Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ Manic symptoms along with:

Increased self-esteem or grandiosity


Decrease need for sleep; feels rested after only three hours.


More talkative than usual or pressure to keep talking


Flights of ideas or subjective experience that thoughts are racing.


Distractibility; attention too easily drawn to unimportant or irrelevant external

stimuli as reported or observed.


Increased in goal directed activity; either socially, at work or school or

sexually or psycho motor agitation; purposeless non-goal directed activity.


Excessive involvement in activities that have a high potential for painful

consequences such as, engaging in unrestrained buying spree's, sexual

indiscretion or foolish business investments.


Marked mood disturbance with impairment in social or occupational

functioning. Hospitalization due to their threat to hurt self or others, or other

psychotic features.


The symptoms are not attributed to physiological effects of a substance, or

other medical condition.




Bipolar II Disorder




Master01 | October, 2024/2025 | Latest update

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