WEEK 5 NR 546 PRACTICE ACTUAL
FINAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
Kristin is a 56-year-old client of Asian descent
recently diagnosed with bipolar disorder. Which
medication would require genetic testing to ensure
safe administration?
Carbemazepine
Rationale: Carbemazepine may cause Stevens-
Johnson Syndrome in people of Asian descent who
have higher risk of HLA-B 1502. Genetic testing
would need to be performed prior to prescribing this
medication.
Unipolar Depression
,Mood disorders manifest across a spectrum from
mania to major depressive disorder (MDD).
prevalence highest (13.1%) among individuals aged
18-25 (MDD)
Common symptoms of MDD
depressed mood or loss of interest or pleasure in
daily activities, irritability, withdrawal, and problems
with sleep, eating, energy, concentration, or self-
worth. Clients with severe depression may
experience thoughts of suicide or psychotic
symptoms.
Bipolar Disorders
a chronic condition characterized by extreme
fluctuations in mood, energy, and ability to function.
The World Mental Health Survey Initiative reported
total lifetime prevalence estimates of 2.4%
Moods may be manic, hypomanic, or depressed and
may include mixed mood or psychotic features.
,diagnosed when a client has one or more episodes of
mania or hypomania with a history of one or more
major depressive episodes.
high risk for suicide
Bipolar Type I: Diagnosis
requires at least one episode of mania for at least
one week (or any duration if hospitalization due to
symptoms is required).
Mania is characterized by a persistently elevated,
expansive, or irritable mood.
symptoms of bipolar type I
Related symptoms may include inflated self-esteem,
increased goal-directed activity or energy, including
grandiosity, decreased need for sleep, excessive
talkativeness, racing thoughts, flight of ideas (FOI),
distractibility, psychomotor agitation, and a
propensity to be involved in high-risk activities.
Mania leads to significant functional impairment and
, may include psychotic features or necessitate
hospitalization
Bipolar Type II Disorder
Diagnosis
requires a current or past hypomanic episode and a
current or past major depressive episode.
Symptoms last for at least 4 days but fewer than
seven.
Anger and irritability are common. Clients often
enjoy the elevation of mood and are reluctant to
report these symptoms, making bipolar more difficult
to diagnose if the client presents in the depression
phase.
Cyclothymia:
involves the chronic presentation of hypomanic and
depressive symptoms that do not meet the
diagnostic criteria for a major depressive or
manic/hypomanic episode.
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