NURS 663 EXAM 1 2024-2025 ACTUAL
EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWES
|ALREADY GRADED A+
Bipolar I Disorder Criteria - CORRECT ANSWERS - 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 - CORRECT ANSWERS - Criteria have been met for
at least one hypomanic episode AND at least one major depressive episode
*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
*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 - CORRECT ANSWERS - 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 - CORRECT ANSWERS - 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 - CORRECT ANSWERS - 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 - CORRECT ANSWERS - For diagnosis of this disorder it is
necessary to meet the following criteria for a current or past hypo manic episode and
the following criteria for occurring or past depressive episode.
Hypo manic episode criteria - CORRECT ANSWERS - A. A distinct. Of abnormally
or persistently elevated, expansive, or irritable mood and abnormally and persistently
increased activity or energy, lasting at least four consecutive days and present most
of the day, nearly every day.
Be. During the period of mood disturbance and increase energy and activity, three or
more of the following symptoms have persisted for if the mood is only irritable.
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep; feels rested after only three hours of sleep
3. More talkative than usual or pressure to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility; attention too easily drawn to unimportant or irrelevant external
stimuli, as reported or observed.
6. Increase in goal directed activity; either socially, at work or school, or sexually, or
psycho motor agitation.
7. Excessive involvement in activities that have a high potential for painful
consequences example; in unrestrained fines freeze, sexual indiscretions, or foolish
business investments.
* The episode is not severe enough to cause marked impairment in social or
occupational functioning or to necessitate hospitalization. If there are psychotic
features the episode is by definition manic.
* The episode is not attributable to the physiological effects of a substance example
a drug of abuse, medication or another medical condition.
major depressive episode - CORRECT ANSWERS - Five or more of the following
symptoms have been present during the same two week period and represent a
, change from previous functioning, at least one of the symptoms is either a
depressed mood or loss of interest or pleasure.
Major depressive episode Symptoms - CORRECT ANSWERS - 1) depressed
mood for the majority of each day for at least *2 weeks*
2) *5+* of...
-- anhedonia
-- lack of motivation
-- less active, Psychomotor agitation/retardation
-- low self-esteem
-- daily fatigue, Insomnia or hypersomnia
-- abnormal eating habits; weight loss/gain
-- abnormal sleeping habits
-- lack of concentration
-- daily guilt, Sense of worthlessness
-- suicidal thoughts
-- decreased academic performance Or ability to concentrate, indecisiveness
-- fewer friendships/social withdrawal
-- EXTREME CASES: psychotic symptoms (delusions, hallucinations)
3) Significant distress or impairment
Cyclothymic Disorder (Cyclothymia) - CORRECT ANSWERS - for at least two
years for adults and one year for children and adolescents there have been
numerous periods with hypo manic symptoms that do not meet criteria for hypo
manic episode in numerous periods of depressive symptoms that do not meet
criteria for a major depressive episode during the above two year or one year. The
hypomanic and depressive periods have been present for at least half the time and
the individual has not been without the symptoms for more than two months at a
time. Criteria for major depression, mania, or hypo manic episode have never been
met. The symptoms Are not better explained by schizoaffective disorder,
schizophrenia, schizophreniform disorder, delusional disorder, or other specified or
unspecified schizophrenia spectrum or other psychotic disorders. The symptoms are
not attributed to physiological effects of a substance or another medical condition.
