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NSG 322 Exam 3 (Bipolar) – Questions With Solutions
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NSG 322 Exam 3 (Bipolar) – Questions With Solutions
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NSG 322 Exam 3 (Bipolar) – Questions With SolutionsBipolar 1 Right Ans - most severe, highest mortality rate; cycle between
*manic* & *severe depression*; requires hospitalization; extreme shifts in
activity, energy, functionality, ADLs
Bipolar 2 Right Ans - at least 1 *hypomanic* & 1 *major depressive*
episode (4 days); more talkative & distractible; no serious impairment in
social/occupational functioning
Manic episodes Right Ans - last every day for 1 week
Mania s/s Right Ans - more energy & mood swings, agitation, nonstop
talking & flight of ideas, insomnia, poor attn span
Cyclothymic disorder Right Ans - *hypomanic & mild-moderate
depression* for at least 2 years in adults (rapid cycling is possible)
Hypomania Right Ans - low level, less dramatic mania; excessive activity &
energy, euphoric
Rapid cycling Right Ans - 1 or 2; at least 4 mood episodes in 12 mo; severe
s/s; high recurrence rate
Substance/med Right Ans - related to substance intoxication or
withdrawal, causes sig distress; levodopa & corticosteroids, TCAs, MAOIs,
anabolic-adrenergic steroids
Another medical condition Right Ans - related to specific condition;
verified through records & exams; cause sig distress
Bipolar men Right Ans - legal probs & violence
Bipolar women Right Ans - suicide, alcohol use, thyroid disease
Bipolar 1 comorbidity Right Ans - anxiety disorders! ADHD, impulse
control or conduct disorders, substance abuse, migraines, metabolic
syndrome
, Bipolar 2 comorbidity Right Ans - anxiety and eating disorders
Risk factors Right Ans - genetics, neurochemical, neuroendocrine,
peripheral inflamm
Environmental risk factors Right Ans - childhood or emotional *abuse,
stressful family life*
Nursing process Right Ans - early & accurate diagnosis, suicide attempts,
substance use disorders, relationship/work/medical problems
Components of a mental status exam Right Ans - mood, behavior, thought
& speech, cognitive function
Mood Right Ans - euphoria, irritability, anger
Behavior Right Ans - self-confident, talkative, overly friendly, shopping
sprees, hypersexuality, goal focused
Thought & speech Right Ans - loose associations, flight of ideas, clang
association, pressured speech, circumstantial, tangential; delusions (grandiose
& persecutory)
loose assoc Right Ans - not connected
flight of ideas Right Ans - racing mind
clang assoc Right Ans - rhyming
pressured speech Right Ans - fast
circumstantial Right Ans - extra details but comes full circle
tangential Right Ans - squirrel
grandiose Right Ans - apostle paul
persecutory Right Ans - FBI is after them
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