Chapter 13: Mental Health

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Medicine - Psychiatry

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khalid1090phgs Created by 7 mon ago

Cards in this deck(71)
What is the most severe form of bipolar disorder characterized by shifts in mood, energy, and ability to function?
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Which of the following is part of the DSM-V criteria for Bipolar I Disorder?
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Are depressive episodes and psychosis required for the diagnosis of Bipolar I Disorder?
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With Bipolar I Disorder, hospitalization is common for _____ and has the highest rate of ______.
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How is mania defined in the context of bipolar disorders?
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Periods of mania can last how long?
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True or False: With mania, patients can feel energized and euphoric, but symptoms can intensify resulting in psychotic behavior such as agitation, depression, hallucinations, and delusions.
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Manic episodes usually alternate between _____ or a mixed state of _____ and _____.
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True or False: Symptoms of mania can be so severe they are classified as a state of psychiatric emergency.
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What does psychosis refer to in the context of bipolar disorders?
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Individuals with _____ have experienced at least one _____ episode and one _____ episode.
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With Bipolar II, _____ never occurs with hypomania but may occur with the _____ episode.
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With Bipolar II, hospitalization is common for _____ and is often _____.
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How is hypomania defined in the context of bipolar disorders?
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The _____ of Bipolar II can be _____ and often increase functioning.
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How long can hypomanic episodes occur for?
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What are the DSM-V criteria for Cyclothymic Disorder?
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Individuals with Cyclothymic disorder have _____ episodes.
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What are some symptoms seen in children with Cyclothymic disorder?
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Some people with Bipolar I or II will experience _____.
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What is rapid cycling in the context of bipolar disorders?
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What are some mood episodes that a client may experience during rapid cycling?
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Up to _____ of patients with MDD may have undiagnosed _____.
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Is Bipolar I more common in males or females?
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Is Bipolar II more common in males or females?
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When does cyclothymia usually occur?
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What are the risk factors for bipolar disorder?
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Describe the concordance rate among identical twins having bipolar disorder.
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What are some assessment findings for a client who is experiencing a depressive episode?
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What are some early assessment findings for a client experiencing a manic episode?
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What are some examples of high-risk/impulsive behaviors?
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The speech of a patient during a manic state can be:
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What is pressured speech in the context of bipolar disorders?
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What is circumstantial speech?
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What is tangential speech?
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What are loose associations in the context of bipolar disorders?
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What is a clang association?
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What are some late assessment findings for a client experiencing a manic episode?
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What is the primary goal for interventions of acute mania?
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What are some nursing interventions for acute mania?
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True or False: As the mood stabilizes and the patient's condition improves, the focus of nursing interventions shifts to relapse prevention and maintenance of a new baseline.
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_____ is a class of drugs used to treat symptoms associated with _____ disorder.
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What is the indication of lithium in the treatment of bipolar disorder?
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How long does it take for lithium to work?
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Because lithium is slow-acting, it is usually supplemented in the early stages by _____, _____, or _____ medications.
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When monitoring lithium, how often are blood levels required?
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Lithium levels should be tested _____ hours after the last dose.
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What are the therapeutic blood levels for lithium?
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What is the toxic blood level for lithium?
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What are some side effects and signs of lithium toxicity?
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Lithium is contraindicated in patients who have:
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What are anticonvulsant drugs used for in the context of bipolar disorder?
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True or False: Anticonvulsant drugs can be used in cases of alcohol and benzodiazepine withdrawal.
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What are some examples of anticonvulsants?
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True or False: Anticonvulsants can be used with lithium or second-generation antipsychotics (SGAs).
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Depakote is also available in:
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What is the indication of Depakote in the treatment of bipolar disorder?
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What are some common side effects of Depakote?
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What are the black box warnings of Depakote?
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What are some details about Lamictal (Lamotrigine) in the treatment of bipolar disorder?
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What are some common side effects of Lamictal?
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Individuals taking Lamictal can have a _____ or _____ within 8 weeks of starting treatment.
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How can atypical (2nd generation) antipsychotics be administered?
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True or False: Atypical (2nd generation) antipsychotics have a faster onset than lithium.
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True or False: With atypical (2nd generation) antipsychotics, there is an increase in agitation, hyperactivity, anxiety, and insomnia.
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With atypical (2nd generation) antipsychotics, there is an increased risk of abnormal _____.
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What are some other negative effects of taking an atypical antipsychotic?
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True or False: Two medications of the same category can be taken together.
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What may occur if you try to treat bipolar disorder with an antidepressant?
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If a patient is on the phone and experiencing lithium toxicity (uncontrolled hand tremors), what should the nurse do?
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What are some examples of atypical (2nd generation) antipsychotics?
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