PSYCH exam 3-- chapter 26

Question 1

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

Answer 1

mania

Question 2

can occur as a biological (organic) or psychological disorder or as a response to substance use or a general medical condition

Answer 2

mania

Question 3

is characterized by mood swings from profound depression to extreme euphoria (mania) with intervening periods of normalcy.

Answer 3

bipolar disorder

Question 4

Delusion or hallucinations may or may not be part of clinical picture

Onset of symptoms may reflect seasonal pattern.

Answer 4

bipolar disorder

Question 5

a somewhat milder form of mania is called

Answer 5

hypomania

Question 6

mood states

Answer 6

severe mania
hypomania
normal
dysthymia
severe depression

Question 7

Client is experiencing or has experienced a full syndrome of manic mixed symptoms

Answer 7

bipolar 1

Question 8

Major depression with episodic occurrence of hypomania.

Never full mania

Answer 8

bipolar 2

Question 9

2 year duration

Answer 9

cylothymic

Question 10

disturbance of mood, depression or mania that is considered to be the direct result of
a drug

Answer 10

Substance Abused bipolar disorder

Question 11

characterized by an abnormally and persistently elevated, expansive, or hittable mood and excessive activity or energy that is judged to be the result of direct physiological effects of another medical condition.

Answer 11

bipolar disorder associated with another medical condition

Question 12

Symptoms not sufficiently severe to cause marked impairment

Answer 12

stage 1 hypomania

Question 13

marked impairment of functioning; usually requires hospitalization

Answer 13

stage 2: acute mania

Question 14

elation and euphoria, a continuous “high”

flight of ideas, accelerated, pressured speech

hallucinations and delusions

excessive psychomotor activity

social and sexual inhibition

little need for sleep

Answer 14

stage 2: acute mania

Question 15

a grave form of the disorder characterized by an intensification of the symptoms associated with acute mania.

The condition is rare since the advent of antipsychotic medication.

Answer 15

Stage 3: delirious mania

Question 16

labile mood, panic anxiety

clouding of consciousness, disorientation

frenzied psychomotor activity

exhaustion and possibly death without intervention

Answer 16

Stage 3: delirious mania

Question 17

tx modalities for bipolar disorder

Answer 17

individual psychotherapy

group therapy

family therapy

cognitive therapy

Question 18

Episodes of mania may be treated with ECT when:

Answer 18

The client does not tolerate medication

client fails to respond to medication

client’s life is threatened by dangerous behavior or exhaustion

Question 19

for mania

Answer 19

lithium carbonate anticonvulsants

verapamil

antipsychotics

Question 20

works by relaxing the muscles of your heart and blood vessels

Answer 20

verapamil

Question 21

for depressive phase of mania

Answer 21

use antidepressants with care (may trigger mania)

Question 22

may modulate the effects of certain neurotransmitters such as NE, serotonin, dopamine, glutamate, and GABA, thereby stabilizing symptoms associated with bipolar disorder

Answer 22

lithium

Question 23

side effects of lithium

Answer 23

drownsiness, dizziness, headache

dry mouth, thirst, GI upset, N/V

Fine hand tremors

Hypotension, arrhymth

Question 24

lithium toxicity for acute mania

Answer 24

1.0-1.5

Question 25

maintenance level for lithium

Answer 25

0.6-1.2

Question 26

lithium toxicity symptoms

Answer 26

blurred vision, ataxia, tinnitius, persistent N/V, and sever diarrhea

Question 27

if a patient is on lithium

Answer 27

ensure they get enough sodium and fluids in their diet