Chapter 13: Mental Health
Medicine - Psychiatry
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Cards in this deck(71)
What is the most severe form of bipolar disorder characterized by shifts in mood, energy, and ability to function?
Which of the following is part of the DSM-V criteria for Bipolar I Disorder?
Are depressive episodes and psychosis required for the diagnosis of Bipolar I Disorder?
With Bipolar I Disorder, hospitalization is common for _____ and has the highest rate of ______.
How is mania defined in the context of bipolar disorders?
Periods of mania can last how long?
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.
Manic episodes usually alternate between _____ or a mixed state of _____ and _____.
True or False: Symptoms of mania can be so severe they are classified as a state of psychiatric emergency.
What does psychosis refer to in the context of bipolar disorders?
Individuals with _____ have experienced at least one _____ episode and one _____ episode.
With Bipolar II, _____ never occurs with hypomania but may occur with the _____ episode.
With Bipolar II, hospitalization is common for _____ and is often _____.
How is hypomania defined in the context of bipolar disorders?
The _____ of Bipolar II can be _____ and often increase functioning.
How long can hypomanic episodes occur for?
What are the DSM-V criteria for Cyclothymic Disorder?
Individuals with Cyclothymic disorder have _____ episodes.
What are some symptoms seen in children with Cyclothymic disorder?
Some people with Bipolar I or II will experience _____.
What is rapid cycling in the context of bipolar disorders?
What are some mood episodes that a client may experience during rapid cycling?
Up to _____ of patients with MDD may have undiagnosed _____.
Is Bipolar I more common in males or females?
Is Bipolar II more common in males or females?
When does cyclothymia usually occur?
What are the risk factors for bipolar disorder?
Describe the concordance rate among identical twins having bipolar disorder.
What are some assessment findings for a client who is experiencing a depressive episode?
What are some early assessment findings for a client experiencing a manic episode?
What are some examples of high-risk/impulsive behaviors?
The speech of a patient during a manic state can be:
What is pressured speech in the context of bipolar disorders?
What is circumstantial speech?
What is tangential speech?
What are loose associations in the context of bipolar disorders?
What is a clang association?
What are some late assessment findings for a client experiencing a manic episode?
What is the primary goal for interventions of acute mania?
What are some nursing interventions for acute mania?
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.
_____ is a class of drugs used to treat symptoms associated with _____ disorder.
What is the indication of lithium in the treatment of bipolar disorder?
How long does it take for lithium to work?
Because lithium is slow-acting, it is usually supplemented in the early stages by _____, _____, or _____ medications.
When monitoring lithium, how often are blood levels required?
Lithium levels should be tested _____ hours after the last dose.
What are the therapeutic blood levels for lithium?
What is the toxic blood level for lithium?
What are some side effects and signs of lithium toxicity?
Lithium is contraindicated in patients who have:
What are anticonvulsant drugs used for in the context of bipolar disorder?
True or False: Anticonvulsant drugs can be used in cases of alcohol and benzodiazepine withdrawal.
What are some examples of anticonvulsants?
True or False: Anticonvulsants can be used with lithium or second-generation antipsychotics (SGAs).
Depakote is also available in:
What is the indication of Depakote in the treatment of bipolar disorder?
What are some common side effects of Depakote?
What are the black box warnings of Depakote?
What are some details about Lamictal (Lamotrigine) in the treatment of bipolar disorder?
What are some common side effects of Lamictal?
Individuals taking Lamictal can have a _____ or _____ within 8 weeks of starting treatment.
How can atypical (2nd generation) antipsychotics be administered?
True or False: Atypical (2nd generation) antipsychotics have a faster onset than lithium.
True or False: With atypical (2nd generation) antipsychotics, there is an increase in agitation, hyperactivity, anxiety, and insomnia.
With atypical (2nd generation) antipsychotics, there is an increased risk of abnormal _____.
What are some other negative effects of taking an atypical antipsychotic?
True or False: Two medications of the same category can be taken together.
What may occur if you try to treat bipolar disorder with an antidepressant?
If a patient is on the phone and experiencing lithium toxicity (uncontrolled hand tremors), what should the nurse do?
What are some examples of atypical (2nd generation) antipsychotics?
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