NURS 663 Exam 1 Study Guide

NURS 663 Exam 1 Study Guide

Bipolar Disorder Type 1 (Ans-

• MDD (2 weeks)
• Mania (1 week)

- plus 3 or more: inflated self esteem, decreased need for sleep, talkative,

flight of ideas, distractibility, goal directed, excessive involvement

• severe
• marked impairment

Mnemonic for Bipolar Disorder (Ans- DIGFAST

Bipolar Disorder Type 2 (Ans-

• MDD (2weeks)
• current or past episode of hypomania (4 days)
• not severe enough to cause marked impairment

Cyclothymia (Ans-

• 2 years
• numerous periods of hypomanic sx
• chronic, fluctuating mood disturbance
• sx free no longer than 2 months

Dysthymia (Ans-

• depressed mood for 2 years

- 2 or more: poor appetite, overeating, insomnia, hypersomnia, low energy,

fatigue, low self esteem, poor concentration, feeling hopeless

• "down in the dumps"
• / 3

Hypomania (Ans-

• elevated, expansive, irritable mood
• persistently increased activity or energy
• lasts only 4 days
• not severe

Major Depressive Disorder (Ans-

- 5 or more during 2 week period: depressed mood,

loss of interest, weight loss/gain, insomnia/hypersomnia, psychomotor agitation/retardation, fatigue, worthlessness/guilt, diminished ability to think, recurrent thoughts of death

Modifiable Risks for Suicide (Ans-

• abuse
• unrealistic parental expectations
• extreme perfectionism
• mental illness
• substance abuse
• poor coping/social skills
• impulsivity
• chronic severe stress
• ongoing harassment

Nonmodifiable Risk Factors for Suicide (Ans-

• family hx of suicide
• family hx of mental illness
• family hx of substance abuse
• race
• gender
• previous attempt
• loss through death, abandonment or divorce 2 / 3

• inconsistent, neglectful or abusive parenting
• sexual orientation
• gender identity
• experience of repeated loss

Who qualifies for involuntary commitment (Ans-

• danger to self
• danger to others
• gravely disabled due to mental illness

Criteria for involuntary commitment (Ans-

• individual has a mental illness, developmental disability or drug/alcohol

dependence

• individuals illness/disability/dependence is treatable
• dangerous to themselves or others

Mental illness criteria for involuntary commitment (Ans-

• substantial disorder of thought, mood, preception, orientation or memory
• grossly impaired judgement, behavior, capacity to recognize reality or

ability to meet demands of life

Developmental disability criteria for involuntary commitment (Ans-

• brain injury
• autism
• Prader Willi Syndrome
• IDD
• expected to continue indefinitely
• substantial handicap to the individual

• / 3