Types of Mania
Increase of symptoms with euphoria and elation. "On a continuous high" Easily changing to irritability, anger, sadness or crying.
What is Acute Mania
Persistent sadness is a common symptom of what condition?
What is Bipolar Depression
Which electrolyte is important to monitor during lithium therapy?
What is Sodium
What is the name of the therapy that helps patients identify and change negative thought patterns?
What is Cognitive behavioral therapy (CBT)
What is the nurse's top priority during acute mania?
What is Patient Safety
Mood is elevated, expansive or irritable. Caused marked impairment in occupational functioning, social activities or relationships. Requires hospitalization.
What is a Manic episode
This type of bipolar disorder involves at least one manic episode.
What is bipolar I Disorder
These medications are commonly used to help stabilize mood in bipolar disorder (general).
What are mood stabilizers
This is a type of therapy that helps with circadian rhythm dysregulation that has been linked to several symptoms common in bipolar disorder.
What is Bright Light Therapy (BLT).
What should the nurse assess if a depressed patient expresses hopelessness?
Suicide Risk Assessment
exhibiting co-occurring symptoms of both depression and mania
What is Mixed Features
This type involves hypomanic episodes and major depressive episodes, without a history of full mania.
What is Bipolar II Disorder
Which medication type is most likely to trigger mania?
Steroid use
Followed by amphetamines, caffeine, high doses of narcotics or anticonvulsants)
Which treatment modality focuses on family education, communication techniques, skills training, and relapse prevention plans?
Family therapy
During an acute manic episode, which would be a priority action?
What is decreasing stimuli (low lighting, fewer people, etc.)
Severe clouding of consciousness and intensification of symptoms associated with acute mania
what is delirious mania
Chronic mood disturbance of at least two years, numerous periods of elevated mood, not meeting the criteria for hypomania, with numerous periods of depressed mood
Cyclothymic Disorder
For which medication classification would teaching prioritize bowel regulation, thermosensitivity, infection signs and symptoms?
Antipsychotic medications
Which therapy focuses on stabilizing sleep cycles and daily routines in those with bipolar disorder
Interpersonal and Social Rhythm Therapy (IPSRT)
What is an important teaching point for anyone using medication to treat bipolar disorder?
Discuss OTC supplement use/ herbal medications with MD
A patient exhibits elevated mood, increased energy, and rapid speech but maintains normal daily functioning without psychosis. Which condition is most likely?
A. Acute Mania
B. Delirious Mania
C. Hypomania
D. Mania with mixed features
C. Hypomania
A patient experiences major depression and hypomanic episodes but has never experienced full mania. Which disorder is most likely?
A. Bipolar I
B. Bipolar II
C. Cyclothymia
D. Major depressive disorder
B. Bipolar II
Which symptoms indicate lithium toxicity?
A. Coarse tremors
B. Severe diarrhea
C. Increased appetite
D. Ataxia
E. Confusion
A. Coarse tremors
B. Severe diarrhea
D. Ataxia
E. Confusion
Which treatment may be used for severe mania when medications are ineffective or not tolerated?
A. Cognitive Behavioral therapy
B. Electroconvulsive therapy (ECT)
C. Group therapy
D. Light therapy
B. Electroconvulsive therapy (ECT)
A patient experiencing acute mania is restless, hyperactive and refusing meals. What is the priority nursing intervention?
A. Encourage group therapy
B. Provide a low stimulation environment and finger foods
C. Confront inappropriate behavior
D. Encourage physical activity
B. Provide a low stimulation environment and finger foods