Bipolar Disorder

Question 1

Mania

Answer 1

an abnormal and persistent elevated mood/euphoria/elation, expansive mood, lack of restraints in expression, overvalued self-importance, irritable mood

Question 2

What is mania usually associated with

Answer 2

grandiose behaviors and large egos

Question 3

Mood lability

Answer 3

rapid mood shifts with little or no change in external events

Question 4

What is bipolar disorder characterized by

Answer 4

episodes of mania

Question 5

Bipolar disorder 1

Answer 5

mania or hypomania alternating with depression

Question 6

How long do symptoms have to be present for to be diagnosed with bipolar disorder 1

Answer 6

Most of the day everyday for at least a week

Question 7

Nursing assessment for biological domain

Answer 7

changes in activity/sleep/eating/diet/body weight, lab testing of thyroid function, changes in sexual practice, pharmacologic assessment

Question 8

What is the nursing diagnosis used for

Answer 8

to figure out where to intervene

Question 9

What medications are often used

Answer 9

antipsychotics (adjunct/monotherapy), antidepressants, mood stabilizers (lithium)

Question 10

What do physiological and social theories focus on

Answer 10

reducing environmental stress and trauma in genetically vulnerable individuals

Question 11

What should serum lithium level be maintained at

Answer 11

0.6-1.2

Question 12

Clinical manifestation of lithium toxicity

Answer 12

nausea, vomiting, diarrhea, tremor, fasciculations, clonus, ataxia, dysarthria, stupor, coma, seizures

Question 13

Complications of lithium toxicity

Answer 13

neurological changes, dysrhythmias, renal failure

Question 14

Treatment of lithium toxicity

Answer 14

IV fluids, whole bowel irrigation, hemodialysis

Question 15

What can impact lithium concentration

Answer 15

excessive fluid, caffeine, salt

Question 16

What do diuretics and NSAIDs do to lithium

Answer 16

increase lithium reabsorption by the kidneys or inhibit lithium excretion

Question 17

Biological domain interventions

Answer 17

monitor and manage drugs and side effects, monitor drug interactions, promote adherence, teaching points, psychosocial treatment, somatic treatment, education about physical care

Question 18

Psychological domain interventions

Answer 18

psychoeducation, individual cognitive behavioral therapy, individual interpersonal therapy, adjunctive therapies, psychotherapy

Question 19

What is not effective in acute mania

Answer 19

psychotherapy

Question 20

What should be avoided at the beginning of bipolar treatment

Answer 20

groups

Question 21

Social domain interventions

Answer 21

protection from self-harm, protection from harm from others, support groups, family interventions, family psychoeducation

Question 22

Goals of bipolar treatment

Answer 22

minimize and prevent episodes, help patient and family understand and manage disorder