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Exam (elaborations)

NURS 663- EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS

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NURS 663- EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS

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  • October 15, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 6635
  • Nurs 6635
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biggdreamer
NURS 663- EXAM REVIEW QUESTIONS
WITH CORRECT ANSWERS
Patient comes in with symptoms of mania followed by periods of depression; what is it?
- Answer-bipolar 1

patient comes in with hypomania/regular mood (euthymic) followed by periods of
depression, what is it? - Answer-bipolar 2

how many symptoms of mania must you have to have "full" mania? - Answer-seven of
thirteen

what is the difference between mania and hypomania? - Answer-hypomania has less
severe symptoms; 3 symptoms over shorter period of time (hypomania)

Cyclothymia - 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

Dysthymia - Answer-a form of depression that is not severe enough to be diagnosed as
major depression

"eeyore" always kind of down and depressed

SIADH - Answer-syndrome of inappropriate antidiuretic hormone

will retain water

hyponatremia will be observed

what is something you should watch out for if a patient is on multiple antidepressants? -
Answer-SIADH

what medical problems mimic mood disorders? - Answer-hypothyroid- depression
hyperthyroid- mania

involuntary admission - Answer-hurt yourself
hurt someone else
inability to care for self

Carbamazepine (Tegretol) - Answer-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? - Answer-
carbamazepine, lithium, valproic acid

Mood Disorder Questionnaire - Answer-Screens for Bipolar Disorder

7+ is a positive screening

4-5 might be hypomania

how is the PHQ-9 scored - Answer-1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe

PHQ-9 - Answer-assessment that evaluates the degree of depression

What is the DSM criteria for Major Depressive Disorder? - 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

What are the "frequency" modifiers for MDD? - Answer-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? - Answer-- Mild: no suicidal thoughts/death
wishes
- Moderate: some thoughts of death/self-harm
- Severe: plan/attempted

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