maryville nurs 663 exam 1 with questions and answers
Question : Patient comes in with symptoms of mania
followed by periods of depression; what is it?
CORRECT ANSWER : bipolar 1
Question : patient comes in with hypomania/regular mood
(euthymic) followed by periods of depression, what is it?
CORRECT ANSWER : bipolar 2
Question : how many symptoms of mania must you have to
have "full" mania?
CORRECT ANSWER : seven of thirteen
Question : what is the difference between mania and
hypomania?
CORRECT ANSWER : hypomania has less severe
symptoms; 3 symptoms over shorter period of time (hypomania)
Question : Cyclothymia
CORRECT ANSWER : a disorder that consists of mood
swings from moderate depression to hypomania and lasts two years or more moods are always irregular- not ever to a full extreme
Question : Dysthymia
CORRECT ANSWER : a form of depression that is not
severe enough to be diagnosed as major depression "eeyore" always kind of down and depressed
Question : SIADH
CORRECT ANSWER : syndrome of inappropriate
antidiuretic hormone will retain water hyponatremia will be observed
Question : what is something you should watch out for if a
patient is on multiple antidepressants?
CORRECT ANSWER : SIADH
Question : what medical problems mimic mood disorders?
CORRECT ANSWER : hypothyroid- depression
hyperthyroid- mania
Question : involuntary admission
CORRECT ANSWER : hurt yourself hurt someone else
inability to care for self
Question : Carbamazepine (Tegretol)
CORRECT ANSWER : mood stabilizer indication: bipolar disorder major side effects: CYP 450: (inducer- speeds up
metabolism of other drugs) patient education:
Question : what 3 medications must have blood draws
associated with them?
CORRECT ANSWER : carbamazepine, lithium, valproic
acid
Question : Mood Disorder Questionnaire
CORRECT ANSWER : Screens for Bipolar Disorder 7+ is a
positive screening 4-5 might be hypomania
Question : how is the PHQ-9 scored
CORRECT ANSWER : 1-4 minimal depression 5-9 mild
depression 10-14 moderate depression 15-19 moderately severe 20 + severe
Question : PHQ-9
CORRECT ANSWER : assessment that evaluates the degree
of depression
Question : What is the DSM criteria for Major Depressive
Disorder?
CORRECT ANSWER : **no history of mania, hypo, or
mixed symptoms symptoms >2 weeks must have: sadness,
anhedonia (loss pleasure/interest) 4 of following: -
appetite/sleep changes, psychomotor retardation, lack of energy, guilt/worthlessness, issues w/ concentration, thoughts suicide/death