NSG 3320 - Bipolar Disorders Test Questions and Correct Answers
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Course
NSG 3320
Institution
NSG 3320
Bipolar disorders chronic, cyclic disorders characterized by mood fluctuations between depression and mania/hypomania that have an onset often in adolescence.
What are the characteristics of onset for bipolar? - Mild depression - Excessive sleeping - Acute psychosis - Several episodes of depressio...
NSG 3320 - Bipolar Disorders Test
Questions and Correct Answers
Bipolar disorders ✅chronic, cyclic disorders characterized by mood fluctuations
between depression and mania/hypomania that have an onset often in adolescence.
What are the characteristics of onset for bipolar? ✅- Mild depression
- Excessive sleeping
- Acute psychosis
- Several episodes of depression prior to 1st manic episode
What is mania or a manic episode? ✅a psychiatric emergency characterized by
elevated, expansive, irritable mood, increased energy and activity and behavioural
changes.
What behavioural changes would you see in someone experiencing mania? ✅- High
self-esteem, increased goals (grandiosity)
- Decreased need for sleep
- Flight of ideas and distractibility
- High risk activities
How can someone be diagnosed with having a manic episode? ✅To be diagnosed
with having a manic episode, 3 or more of the behavioural changes have to be
occurring for a week or more everyday or if it requires hospitalization and it has to
include impairment.
What are some of the marked impairments of mania? ✅- Social or occupational
functioning
- May cause psychosis
- May require hospitalization
What is hypomania or hypomania episodes? ✅the same as mania but duration and
intensity is less. Mood changes lasting 4 or more days of symptoms and diagnostic
criteria is the same as mania.
**does not cause impaired functioning or psychosis!!**
What are the 3 types of bipolar disorders? ✅1) bipolar I disorder (most serious)
2) bipolar II disorder
3) cyclothymic
Bipolar 1 ✅at least one manic episode.
, *may, but not always, start or be followed by major depressive episode or hypomania.
Bipolar 2 ✅at least 1 episode of both hypomania and major depression
Cyclothymic disorder ✅chronic mood disorder (at least 2 years) characterized by
having numerous episodes of hypomania and depressive symptoms.
Epidemiology of bipolar disorder ✅- 1% in Canada, men and women equal
- More in higher income countries
Etiology of bipolar disorder ✅- Genetic: 15-30% more risk for children of parents with
bipolar, 70% rate in identical twins.
- Brain function: dysfunction in prefrontal cortical region, hippocampus, amygdala.
- Neuroendocrine: changes in hypothalamic-pituitary-thyroid-adrenal axis (HPTA axis).
- Environment: stressors may trigger bipolar.
What are the comorbidities of bipolar disorder? ✅- Anxiety disorders
- Alcohol & substance use
- ADHD
- Suicide
- Migraines
- Metabolic syndrome
- DM
- CV - might be r/t lifestyle (diet, smoking, obesity, stressors)
Nursing assessment for BD: biological ✅sleep, energy, diet, substance use
Nursing assessment for BD: pharmacological ✅antidepressants, mood stabilizers
Nursing assessment for BD: psychological ✅MSE
What are the 3 phases of BD? ✅1. Acute phase
2. Continuation phase
3. Maintenance phase
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