Bipolar Disorder

Question 0

Bipolar II

Answer 0

Hypomanic episodes alternate with major depression; psychosis not present

Question 1

Bipolar I

Answer 1

At least 1 episode of mania alternates with major depression; psychosis may accompany manic episode

Question 2

Cyclothymia

Answer 2

Hypomanic episodes alternate with minor depressive episodes (for at least 2 years); individuals with this tend to have irritable hypomanic episodes

Question 3

Rapid Cycling

Answer 3

4 or more mood episodes in a 12 month period

Question 4

First-Line Tx for Bipolar Disorder

Answer 4

Lithium

Question 5

Flight of Ideas

Answer 5

Nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations or a play on words

Question 6

Grandiosity

Answer 6

Inflated self regard

Question 7

Acute Phase

Answer 7

Injury prevention

Question 8

Continuation Phase

Answer 8

4 to 9 mo; relapse prevention

Question 9

Maintenance Phase

Answer 9

Relapse prevention with limitation of severity/duration of future episodes

Question 10

Lithium: Maintenance Blood Levels

Answer 10

0.4-1.3 mEq/L

Question 11

Lithium: Therapeutic Blood Levels

Answer 11

0.8-1.4 mEq/L

Question 12

Lithium: Sx of Toxicity

Answer 12

Nausea, diarrhea, polyuria, tremors, lethargy, slurred speech, ataxia, confusion, coma

Question 13

Lithium: Long-Term Risks

Answer 13

Hypothyroidism, kidney’s impairment to concentrate urine

Question 14

Seclusion Protocol

Answer 14

Order must be reviewed & rewritten every 24 hours; observation/documentation every 15 minutes; offer food/fluids every 30-60 minutes; toileted every 1-2 hours; vital signs every 1-2 hours

Question 15

Lithium: Contraindications

Answer 15

Renal or thyroid dysfunction