Learn: Mood Disorder Questions | Quizlet

Bipolar Type 1 consists of

A) manic episodes with at least one episode of depression

B) depressive episodes with at least one episode of mania

C) equal episodes of mania and depression

D) normal behavior with one short episode of mania each month

A) manic episodes with at least one episode of depression

Medically speaking, mania is defined as...

A) Low, deflated moods

B) Anger followed by sleepiness

C) Alternating high and low moods

D) Abnormally elevated moods

D) Abnormally elevated moods. This is characterized by some symptoms such as inappropriate elation, increased irritability, severe insomnia, marked increased energy and activity level, poor judgement, and inappropriate social behavior.

A mood related-disorder most commonly exhibited in the wintertime is...

a. PMDD

b. SAD

c. Cyclothymic disorder

d. Postpartum depression

b. SAD (Seasonal Affective Disorder)

A student nurse goes to assess a client that just started Prozac (fluoxetine) and starts to exhibit agitation, muscle rigidity, sluggish pupils, hyperthermia, tachypnea, and diaphoresis. The student nurse can assume what is going on with the patient:

A. Overdose of MAOI's

B. Overdose of SSRI'S

C. Serotonin Syndrome

D. Hypertensive crisis

C) All of these symptoms are part of serotonin syndrome. The key point to this question is what is Prozac, which is a SSRI. D is not correct because a hypertensive crisis only occurs in patients that are taking MAOI's.

The nurse assesses a client who is diagnosed with bipolar disorder. The nurse would expect to find a history of:

A) A depressive episode followed by prolonged sadness

B) A series a depressive episodes that recur periodically

C) Symptoms of mania that may or may not be followed by depression

D) Symptoms of mania that include delusional thoughts

C) Symptoms of mania that may or may not be followed by depression

Which is an example of a mood disorder?

A) depression

B) alcoholsim

C) schizophrenia

D) bulimia

A) depression

What is the common length that an episode Major Depressive Disorder lasts?

a) less than 1 month

b) less than 6 months

c) less than 3 months

d) less than 12 months

b) less than 6 months

Which of the following is not a symptom of major depressive disorder?

A. anhedonia

B. changes in weight

C. decreased sleep and energy

D. increased self-esteem

D. increased self-esteem

True or false:

Men are 3x more likely to commit suicide than women.

True

Which teaching focused intervention will have the greatest impact on reducing the risk of relapsing for a client diagnosed with bipolar disorder?

a. Symptom recognition

b. Stress management skills

c. Role of family as support

d. Available social resources

c. Role of family as support

What is the priority intervention in a client with suicidal ideation?

A. Using an Authoritative role

B. Creating a list of support people for the client

C. Provide a safe environment

D. Develop a therapeutic relationship

C. Provide a safe environment

What form of treatment is still used today for Major Depressive Disorder?

A. Insulin shock therapy

B. Electroconvulsive therapy

C. Blood letting

D. Poppy Extract and Donkey's Milk

B. Electroconvulsive therapy

A patient with major depressive disorder was seen and prescribed a new medication Parnate, an MAOI, to help control their symptoms. As the nurse, you should educate the patient to avoid which foods containing tyramine to prevent a hypertensive crisis?

a. aged cheeses & meats

b. tropical fruits

c. chips with salsa

d. cottage cheese & wheat breads

a. aged cheeses & meats

A patient is taking Lithium for bipolar disorder. Which organ is at highest risk for damage from this medication?

A. Liver

B. Kidneys

C. Large intestine

D. Stomach

B. Kidneys

Which of the following statements by the nursing student indicates a need for further teaching regarding Bipolar Disorder?

A. Pharmacologic treatment options for bipolar disorder include mood stabilizers and antipsychotics.

B. Bipolar II Disorder involves episodes of depression and hypomania, but the patient may experience one or fewer manic episodes.

C. Risk factors for Bipolar Disorder include immediate family history, trauma, and drug or alcohol abuse.

D. Bipolar I Disorder involves alternating episodes of mania and depression.

B. Bipolar II Disorder involves major depressive episodes and at least one hypomanic episode with no manic episodes.

A depressed client reports to a nurse a history of divorce, multiple job loss, family estrangement, and heroin abuse. Which theoretical principle best explains the etiology of this client's depressive symptoms?

A. According to psychoanalytic theory, depression is a result of anger that has been bottled up inside for too long

B. According to the object-loss theory, depression is a result of parental abandonment

C. According to learning theory, depression is a result of repeated failures

D. According to cognitive theory, depression is a result of many negative perceptions

C. According to learning theory, depression is a result of repeated failures

A person with bipolar 1 will experience a full manic episode, while a person with bipolar 2 will experience only a hypomanic episode, true or false?

True

When giving lithium to a bipolar patient you are expecting it to have what effect on the patient?

Treat manic episodes

While caring for a child a nurse is preparing to administer medication for depression. The nurse knows which of the following medications is approved for the treatment of depression in children and adolescents

A. Fluoxetine (Prozac)

B. sertraline (Zoloft)

C. citalopram (Celexa)

A. Fluoxetine (Prozac)

A nurse is working with a client who begins to give away her personal belongings. Which is the priority question for the nurse to ask?

A) Why are you giving your items away?

B) Do you want to hurt yourself?

C) I thought that item meant a lot to you?

D) Why don't we discuss how your feeling today

B) Do you want to hurt yourself?

A nurse is leading a group therapy session when a client starts experiencing a manic episode and yells at the nurse. What is the nurse's best response?

A. End the group therapy session to calm the client

B. Ask a UAP to assist the client out of the room so you can continue leading the session

C. Yell back at the client to sit down and remain calm

D. Ask the other patients in the group session to ignore the client and move away from her

B. Ask a UAP to assist the client out of the room so you can continue leading the session

You're getting ready to educate your patient on her new prescription for Lithium. Which of the following contraindications requires a call to the provider?

a. the pt has a 9 month old infant

b. the pt has a family hx of Bipolar Disorder

c. the pt is 8 weeks pregnant

d. the pt has a family hx of Schizophrenia

c. the pt is 8 weeks pregnant

A nurse walks in to find a patient confused, having tremors and with low blood pressure, the nurse knows that the patient takes Lithium. The nurse should...

A. Assume the tremors are from hypoglycemia

B. Reorient the client to place

C. Start IV fluids

D. Notify the provider

D. notify the provider because these are signs of lithium toxicity

The healthcare provider is caring for a patient who has undergone electroconvulsive therapy (ECT). The patient should be carefully assessed for which of the following common adverse effects of this treatment?

A. Memory loss and headache

B. Aggression and violent behavior

C. Palpitations and cardiac arrest

D. Dizziness and blurred vision

A. Memory loss and headache

How long must someone be exhibiting manic symptoms to be diagnosed with mania?

A) 2 weeks

B) 1 month

C) 1 week

D) 2 months

C) 1 week