BiPolar

Question 1

what is a labile mood

Answer 1

mood swings

Question 2

describe difference between bipolar I and II

Answer 2

I - mania and depression

II - hypo-mania depression w/o psychosis

Question 3

bipolar disorder is characterized by

Answer 3

ups and downs - highs and lows

Question 4

those with bipolar have

Answer 4

significant challenges in function - chronic disorder

Question 5

bipolar I criteria

Answer 5

at least 1 manic episode that alternates with depression

really high and really low

Question 6

mania is defined as

Answer 6

exaggerated euphoria - take risks - impulsive

Question 7

is bipolar disorder a life-long disorder

Answer 7

yes - it does not go away - must take meds for life

Question 8

psychosis often accompanies a manic episode (type 1), t or f

Answer 8

true - grandiose delusions (believe they are powerful)

Question 9

bipolar II classification

Answer 9

hypo-mania episodes alternating with major depression

Question 10

hypo-mania lasts/presents like

Answer 10

4 days - super productive - little sleep - then crash

Question 11

in type II bipolar you often have psychosis, t or f

Answer 11

false

Question 12

what is cyclothymia

Answer 12

hypo-manic episodes with minor depressive episodes over a longer period of time - lower grade up and down - tendency to be irritable

Question 13

specifiers relate to the way an individual will be treated with bipolar disorder, t or f

Answer 13

true

Question 14

what are the specifiers for bipolar disorder

Answer 14

rapid cycling

mania or hypo-mania with mixed features

Question 15

which specifier dx is more severely ill

Answer 15

rapid cyclers - episodes occur more than 4 times/yr

Question 16

symptoms found in mania or hypo-mania with mixed features specifier

Answer 16

depressive and manic episodes at the same time

Question 17

mixed mania is also known as

Answer 17

dysphoric mania

Question 18

A nurse is developing a care plan for a client with acute
mania. Place the following behaviors according to the
order in which they progress in a client with acute
mania. Use all of the options.

Answer 18

2. Uses relevant, calm speech patterns
3. Shows high productivity and competitive attitude in work and leisure activities
4. Becomes easily irritated
5. Demonstrates poor judgment and impulse control
6. Has delusions of grandeur

Question 19

which co-morbidity is common in bipolar disorder

Answer 19

substance abuse

Question 20

medical conditions commonly found in bipolar disorder

Answer 20

cardiovascular disorders, HIV, metabolic disorders

Question 21

what causes bipolar disorder

Answer 21

unknown - strong genetic component

Question 22

which neurotransmitter do you have more of in bipolar disorder

Answer 22

norepinephrine (fight or flight)

Question 23

bipolar disorder is more prevalent in

Answer 23

high socioeconomic class, creative and highly educated

Question 24

mania onset/duration

Answer 24

can last for months - followed by depressed mood

abrupt onset, can be gradual

Question 25

4 symptoms of bipolar

Answer 25

mood (ups and downs, labile)
behavioral (hyperactive, don’t finish tasks, engage in pleasure acts w/o considering consequences)
cognitive (poor concentration/judgment)
physical(nonstop activity)

Question 26

about half of those in mania phase have psychosis, t or f

Answer 26

true

Question 27

during mania there is marked impaired function, t or f

Answer 27

true

Question 28

altered thought processes of bipolar disorder

Answer 28

disorganized speech
flight of ideas
clanging (senseless rhyming) 
grandiosity
hallucinations

Question 29

a common misdiagnosis of bipolar

Answer 29

uni-polar (major depression)