Chapter 16 - Unit 2 Flashcards
With Bipolar, about %___ of the time is spent in the depressive state.
%70
Bipolar spectrum disorders aren’t very serious. T/F?
FALSE - they are among the most serious mental health disorders.
Mania - def
aka hypomania, which means an exaggerated elevated, expansive or irritable mood accompanied by a persistent increase in activity and/or energy.
Only about half of individuals with bipolar regain their ability to function normally. T/F?
True - :(
Bipolar Type 1 - What is it?
This is when there’s at least one episode of mania - there’s psychosis as well.
Bipolar Type 2 - What is it?
Psychosis is not present - the depression happens here, too.
Cyclothymia - def
Hypomanic episodes alternating with minor depressive episodes (at least 2 years in duration). They tend to have irritable hypomanic episodes.
Bipolar disorder unspecified - def
Disorders with bipolar features that do not meet criteria for any of the others listed.
Rapid-Cycling Bipolar Disorder Specifier - how many?
4 or more episodes in a 12 month period.
Mania with mixed features - specifier - what is it?
Used when a patient in a full bipolar or hypomanic mood displays at the same time depressive symptoms.
What are some differences between unipolar and bipolar depression?
Unipolar affects more women and can happen at different points in life (and later). Sleeping/eating are more disturbed.
Bipolar is more equal between men and women. Onset is usually more early in life. Eating comes in the form of binging and such.
Bipolar - usually emerges in ages __ to ___.
15-19.
Mania can present over the course of a few weeks…but it usually happens suddenly. T/F?
True!
People in a manic state may laugh, joke, and talk in a continuous stream. T/F?
True!
When manic, a person can switch between many activities. T/F?
True!
When someone comes out of a manic phase, they’re totally fine. T/F?
FALSE - they might be confused and disoriented.
Flight of ideas - def
nearly continuous flow of accelerated speech with abrupt changes among topics that are usually based on understandable associations or a play on words, like “How are you doing, kid, no kidding around, I’m going home…”
Bipolar - you aren’t smart and creative. T/F?
FALSE - typically, there’s some more creativity and stuff.
With acute mania, how should nurses act?
They should act calm, cool, and collected.
What’s one of the biggest concerns with the mania/delirium/etc?
Keeping them safe!
Bipolar people might try to use splitting on the staff - what is it?
That’s when they might try to pit one staff member against another.
Should we set limits for people with bipolar?
YES!
What is Lithium good for?
It’s good for treatment of bipolar - It helps the acute treatment of mania and depressive episodes and prevents them.
Does mania take a short time to work?
No, it takes a longer time.
Lithium - what are normal levels?
0.6-1.2 for the initial range. Higher than 1.5 can cause problems.
What are two major risks of lithium therapy?
Hypothyroidism and kidney impairment.
Anticonvulsants - good for…
beneficial in controlling mania, superior in dysphoric mania, rapid cycling, etc.
Some patients with treatment resistant bipolar disorder improve after taking carbamazepine and lithium or carbamazepine and an antipsychotic. T/F?
True!
Lamictal (Lamotrigine) is bad for bipolar. T/F?
FALSE - it’s a first line treatment for bipolar.
