BIPOLAR DISORDER - FINAL EXAM

Question 1

bipolar 1 disorder

Answer 1

at least 1 manic episode (some depression), highest mortality rate and most severe

Question 2

bipolar 2 disorder

Answer 2

at least one 1 hypomanic and 1 depressive episode (mostly depressive)

Question 3

cyclothymic disorder

Answer 3

symptoms of mild to mod depression for at least 2 yrs with rapid cycling btw depression and mania

Question 4

hypomania

Answer 4

low level and less dramatic mania that is more functional, euphoric and less dangerous

Question 5

epidemiology

Answer 5

men and women equal, 4 times more likely to get postpartum psychosis

Question 6

comorbidity of bipolar 1

Answer 6

substance use, ADHD/disruptive/impulse control/conduct disorders, anxiety disorders

Question 7

comorbidities of bipolar 2 disorder

Answer 7

substance use, anxiety, eating (binge) disorders

Question 8

comorbidity of cyclothymic disorder

Answer 8

substance use, sleep disorders, ADHD in kids with DMDD

Question 9

risk factors of bipolar

Answer 9

bipolar 1 genetically similar to schiz
bipolar 2 genetically similar to MDD
ALL are more prevalent in pt with hypothyroidism

Question 10

assessing behaviors

Answer 10

can be manipulative and demanding with splitting

Question 11

thought processes and speech pattern assessment

Answer 11

pressured speech, flight of ideas, loose and clang associations, circumstantial and tangential speech

Question 12

pressured speech

Answer 12

forcing everything out of head not allowing comments from other

Question 13

circumstantial speech

Answer 13

going off topic but soon reaching point

Question 14

tangential speech

Answer 14

going off topic and never reaching point

Question 15

loose association

Answer 15

putting words together that only have meaning toward pt

Question 15

flight of ideas

Answer 15

changing topics rapidly and often losing listener

Question 16

clang associations

Answer 16

putting words together that sound the same

Question 17

cognitive function assessment

Answer 17

dysfunction in ADL, sleep and eating with deficits from mania, hx of psychosis and chronic illness

Question 17

thought content assessment

Answer 17

grandiose/persecutory delusions

Question 17

assessment guidelines for bipoalr

Answer 17

danger to self or others, need for protection, fam understanding, med conditions

Question 18

acute phase of outcomes

Answer 18

prevent injury, maintain cardiac status, hydration, tissue integrity, sleep, thought self control and no self harm

Question 19

maintenance phase outcomes

Answer 19

knowledge of disorder, identify risk factors, preventative measures and support, problem solve with new coping skills

Question 20

planning acute phase

Answer 20

med stabilization, safety, seclusion, restraint, ECT

Question 21

planning maintenance phase

Answer 21

prevent relapse, long term med adherence, limit severity and duration of episodes, support

Question 22

implementation of depressive episodes

Answer 22

hosp for suicidal, psychotic, catatonic and med concerns of causing mania

Question 23

implementation of manic episodes

Answer 23

hosp for acute mania, communication

Question 24

acute phase of implentation

Answer 24

safety (acute mania), imposes control on destructive behaviors, meds for stabilization

Question 25

maintenance phase implementation

Answer 25

prevent relapse, nutrition, support, sleep, med adherence

Question 26

communication techniques

Answer 26

firm and calm, short concise explanations, identify expectations, hear legit complains, redirect energy

Question 27

health teaching

Answer 27

inform on illness, warning sings, importance of regularity, therapy

Question 28

documented data of seclusion or restraints must show

Answer 28

risk of harm to self or others, unable to control actions, other measures failed

Question 29

long term evaluation outcomes

Answer 29

adhere to meds, resume functioning, achieve stability, improve coping skills

Question 30

main focus of treatment is

Answer 30

preventing agitation and mood stabilization

Question 31

pharmacotherapy

Answer 31

lithium, depakote, olanzapine, risperidone, clonazepam, lorazepam

Question 32

lithium

Answer 32

treats acute mania and for maintenance treatment with onset of 10-21 days

Question 33

therapeutic levels of lithium

Answer 33

must have labs drawn every 2 wks, 600-1200mg or .8-1.2 meq and can increase to 300mg daily PRN

Question 34

toxic levels

Answer 34

can cause EPS, provide anticholinergics and decrease by 300mg

Question 35

pt education on lithium

Answer 35

NEVER stop abruptly

Question 36

contraindications of lithium

Answer 36

pregnancy and breastfeeding

Question 37

electroconvulsive therapy

Answer 37

electric current through brain to treat levels of depression in bipolars

Question 38

CBT

Answer 38

used with pharmacotherapy

Question 39

interpersonal and social rhythm therapy

Answer 39

regulate social routines and stabilize relationships to improve depression and prevent relapse