NURS 663 Exam 1
Patient comes in with symptoms of mania followed by periods of depression; what is it?(Ans- bipolar 1
patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is it?(Ans- bipolar 2
how many symptoms of mania must you have to have "full" mania?(Ans- seven of thirteen
what is the difference between mania and hypomania?(Ans- hypomania has less severe symptoms; 3 symptoms over shorter period of time (hypomania)
Cyclothymia (Ans- 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
Dysthymia (Ans- a form of depression that is not severe enough to be diagnosed as major depression
"eeyore" always kind of down and depressed
SIADH (Ans- syndrome of inappropriate antidiuretic hormone
will retain water
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hyponatremia will be observed
what is something you should watch out for if a patient is on multiple antidepressants?(Ans- SIADH
what medical problems mimic mood disorders?(Ans- hypothyroid- depression hyperthyroid- mania
involuntary admission (Ans- hurt yourself hurt someone else inability to care for self
Carbamazepine (Tegretol) (Ans- mood stabilizer
indication: bipolar disorder
major side effects:
CYP 450: (inducer- speeds up metabolism of other drugs)
patient education:
what 3 medications must have blood draws associated with them?(Ans- carbamazepine, lithium, valproic acid
Mood Disorder Questionnaire (Ans- Screens for Bipolar Disorder
7+ is a positive screening
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4-5 might be hypomania
how is the PHQ-9 scored (Ans- 1-4 minimal depression 5-9 mild depression 10-14 moderate depression 15-19 moderately severe 20 + severe
PHQ-9 (Ans- assessment that evaluates the degree of depression
What is the DSM criteria for Major Depressive Disorder?(Ans- **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
What are the "frequency" modifiers for MDD?
(Ans- episodic: symptoms dissipate over time
recurrent: likely to reappear in future
subclinical: sadness + 3 symptoms > 10 days (full criteria not met)
how is the severity of depression rated?(Ans-
- Mild: no suicidal thoughts/death wishes
- Moderate: some thoughts of death/self-harm
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