NURS 663 Exam 1 Review

NURS 663 Exam 1 Review Know the DSM-5 criteria for the following diagnoses and specifiers and be able to

differentiate among them:

Bipolar disorder type 1

• Must meet criteria for manic episode, mania also has to go along

with a depressive episode as well. ** if patient has never had a full blown case of mania then they cannot be bipolar I

o Mania:

• Distinct period of abnormally elevated, expansive, or irritable

mood and abnormally increased energy/ and activity lasting at least 2 weeks and present most of the day, nearly every day

• 3 or more of these symptoms must be present during this distinct period
• Inflated self-esteem or grandiosity
• Decreased need for sleep – maybe just needing 3 hours of sleep
• More talkative than usual
• Flight of ideas, racing thoughts
• Distractibility
• Increase in goal directed activity (social, school, work, or sexually)
• Excessive involvement in activities with high painful consequences

(spending a lot of money/shopping sprees, risky sexual behavior, foolish business investments)

• Mood disturbance is severe to cause marked impairment in daily

functions (home, work) and may necessitate hospitalization

• Not attributable to physiological effects (medication, substance)

o Median age of onset : 18

o Rapid cycling: one who has 4 or more mood episodes in a year period

• Bipolar disorder type 2
• this person does not need to be hospitalized, not thinking they are

best friends with the president and have a million dollars to invest.This type of person has an excessive amount of energy for slower periods of time.

• Hypomania is a distinct period of abnormally elevated, expansive,

or irritable mood with abnormally increased energy/activity, lasting at least 4 days, most of the day, nearly everyday

o 3 of the following symptoms must be present:

▪ Inflated self-esteem, grandiosity ▪ Decreased need for sleep ▪ More talkative, pressured speech 1 / 2

▪ Flight of ideas ▪ Distractibility ▪ Increased goal directed activity (getting more work done) ▪ Excessive involvement in activities ▪ Change in functioning that is unlike the person when not symptomatic ▪ Mood and change is observable by others ▪ Not severe enough to cause marked impairment in functioning or hospitalization ▪ Not attributed to physiologic effects

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