Manic Behavior Unit 2 (1)

Question 1

Mania

Answer 1

An alteration in mood that is expressed by feelings of elation, inflated self esteem, grandiosity, hyperactivity, agitation, and accelerated thinking and speaking.

Question 2

Euphoria

Answer 2

Extremely Happy, silly, or giddy

Question 3

Grandiosity

Answer 3

Believing that his or her abilities are better than every body elses (Unlike Rob who really does have better abilities than everybody else)

Question 4

Pressured speech

Answer 4

Rapid speech that is loud, intrusive, and difficult to interupt

Question 5

Bipolar Disorder

Answer 5

Charectorized by mood swings from profound depression to extreme euphoria with intervening periods of normalcy.

Question 6

Hypomania

Answer 6

A distinct period of abnormaly and persistnty elevated expansive or irratable mood and abnormally and persistantly increased activity or energy lasting atleast four consecuative days and present most of the day nearly every day.

Question 7

Labile

Answer 7

unstable, changing mood

Question 8

Clang association

Answer 8

A pattern of speech in which the choice of words is governed by sounds. Clang associations often take the form of rhyming

Question 9

Flight of ideas

Answer 9

A nearly continuous flow or accelerated speech with abrupt changes from topic to topic, usually based on understandable associations, distracting stimuli, or play on words.

Question 10

lamotrigine (lamictal)

Answer 10

Anticonvulsant, phenyltriazine

Seizures, Bipolar disorder

• Take oral doses divided with or after meals to decrease adverse effects
• Do not discontinue abruptly because seizures may occur
• Look for skin rash, increased seizure activity
• Photosensitivity may occur

Question 11

Intrusiveness

Answer 11

The act of aggressivly advancing oneself and your ideas without invitation or regard for the appropriateness

Question 12

lithium (eskalith, lithonate)

Answer 12

Antimanic, antipsychotic, alkali metal ion salt

Bipolar disorders, prevention of bipolar manic-depressive psychosis

• Symptoms of minor toxicity and major toxicity
• Monitor urine specific gravity to determine lithium levels
• do not operate machinery until lithium levels stable
• Beneficial effects may take 1-3 weeks
• Products that interact with lithium (stable intake of salt and fluids)

Question 13

divolproex sodium, valproic acid (depakote)

Answer 13

Anticonvulsant, vascular headache suppressant, carboxylic acid derivative

Seizures, manic episodes r/t bipolar disorder, migraine, ADHD, schizophrenia, mania

• Physical dependency may result from extended use
• Avoid driving
• Seizures may result if discontinue medication quickly
• Report visual disturbances, rash, diarrhea, abdominal pain, light colored stools, jaundice, protracted vomiting

Question 14

Defense mechanisms over used by manic client

Answer 14

1. Reaction Formation
2. Projection
3. Rationalization
4. Denial
5. Displacement

Question 15

Primary Prevention

Answer 15

Development of a positive self-concept as demonstrated by self-confidence, self-respect, self-esteem, and striving for self-actualization

Question 16

Secondary Prevention

Answer 16

Treating a newly diagnosed client

Question 17

Tertiary Prevention

Answer 17

Managing any complications of the illness, rehabilitation, medications, psychotherapies, ECT, support groups, and support services