Chapter 16 - Unit 2

Question 1

With Bipolar, about %___ of the time is spent in the depressive state.

Answer 1

%70

Question 2

Bipolar spectrum disorders aren’t very serious. T/F?

Answer 2

FALSE - they are among the most serious mental health disorders.

Question 3

Mania - def

Answer 3

aka hypomania, which means an exaggerated elevated, expansive or irritable mood accompanied by a persistent increase in activity and/or energy.

Question 4

Only about half of individuals with bipolar regain their ability to function normally. T/F?

Answer 4

True - :(

Question 5

Bipolar Type 1 - What is it?

Answer 5

This is when there’s at least one episode of mania - there’s psychosis as well.

Question 6

Bipolar Type 2 - What is it?

Answer 6

Psychosis is not present - the depression happens here, too.

Question 7

Cyclothymia - def

Answer 7

Hypomanic episodes alternating with minor depressive episodes (at least 2 years in duration). They tend to have irritable hypomanic episodes.

Question 8

Bipolar disorder unspecified - def

Answer 8

Disorders with bipolar features that do not meet criteria for any of the others listed.

Question 9

Rapid-Cycling Bipolar Disorder Specifier - how many?

Answer 9

4 or more episodes in a 12 month period.

Question 10

Mania with mixed features - specifier - what is it?

Answer 10

Used when a patient in a full bipolar or hypomanic mood displays at the same time depressive symptoms.

Question 11

What are some differences between unipolar and bipolar depression?

Answer 11

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.

Question 12

Bipolar - usually emerges in ages __ to ___.

Answer 12

15-19.

Question 13

Mania can present over the course of a few weeks…but it usually happens suddenly. T/F?

Answer 13

True!

Question 14

People in a manic state may laugh, joke, and talk in a continuous stream. T/F?

Answer 14

True!

Question 15

When manic, a person can switch between many activities. T/F?

Answer 15

True!

Question 16

When someone comes out of a manic phase, they’re totally fine. T/F?

Answer 16

FALSE - they might be confused and disoriented.

Question 17

Flight of ideas - def

Answer 17

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…”

Question 18

Bipolar - you aren’t smart and creative. T/F?

Answer 18

FALSE - typically, there’s some more creativity and stuff.

Question 19

With acute mania, how should nurses act?

Answer 19

They should act calm, cool, and collected.

Question 20

What’s one of the biggest concerns with the mania/delirium/etc?

Answer 20

Keeping them safe!

Question 21

Bipolar people might try to use splitting on the staff - what is it?

Answer 21

That’s when they might try to pit one staff member against another.

Question 22

Should we set limits for people with bipolar?

Answer 22

YES!

Question 23

What is Lithium good for?

Answer 23

It’s good for treatment of bipolar - It helps the acute treatment of mania and depressive episodes and prevents them.

Question 24

Does mania take a short time to work?

Answer 24

No, it takes a longer time.

Question 25

Lithium - what are normal levels?

Answer 25

0.6-1.2 for the initial range. Higher than 1.5 can cause problems.

Question 26

What are two major risks of lithium therapy?

Answer 26

Hypothyroidism and kidney impairment.

Question 27

Anticonvulsants - good for…

Answer 27

beneficial in controlling mania, superior in dysphoric mania, rapid cycling, etc.

Question 28

Some patients with treatment resistant bipolar disorder improve after taking carbamazepine and lithium or carbamazepine and an antipsychotic. T/F?

Answer 28

True!

Question 29

Lamictal (Lamotrigine) is bad for bipolar. T/F?

Answer 29

FALSE - it’s a first line treatment for bipolar.