Bipolar I Disorder
What is the most common drug class used to treat Bipolar 1 Disorder?
a. AntiDepressants
b. Antipsychotics
c. Stimulants
d. Benzos
b. Antipsychotics
What differentiates Bipolar Disorder II from other subtypes?
c. Full blown Manic episode at least once in lifetime.
b. Major Depressive episode followed by hypomanic episodes.
c. Depression
d. All of the above
b. Major Depressive episode followed by hypomanic episodes.
What is the main difference between Bipolar II Disorder and Cyclothymic Disorder?
a. Cyclothymic Disorder is not a real disorder.
b. Cyclothymic Disorder is easier to prevent than Bipolar II disorder.
c. Cyclothymic Disorder has less severe episodes with less time in between.
d. A and B
c. Cyclothymic Disorder has less severe episodes with less time in between
Which of the following is a commonly used tool to assess a client for potential suicidal behaviors?
a. The Beck triad
b. STEPPS
c. SAFE-T Assessment
d. Mood Disorder Questionnaire
c. SAFE-T Assessment
Which is the most common mental illness seen in both medical and psychiatric health care?
a. Bipolar spectrum disorders
b Personality disorders
c. Cyclothymic disorders
d. Depression
d. Depression
Bipolar Disorder II can sometimes be misdiagnosed with which of the following disorder?
a. Schizophrenia and Unipolar depression
b. Depression
c. Bipolar disorder I
d. All of the above
a. Schizophrenia and Unipolar depression
What is true about cyclothymic patients?
a. They are likely to develop bipolar disorder.
b. They are likely to develop substance related disorders.
c. They are likely to develop sleep disorders.
d. All of the above.
d. All of the Above
Which client behavior is associated with suicide?
a. Buying a new red sports car so another family member can drive the old car
b. Writing farewell notes and giving away prized possessions
c. Enrolling in a master's degree program to improve the client's skills
d. Planning a second honeymoon in Paris with the client's spouse
b. Writing farewell notes and giving away prized possessions
Which of the following is characterized by at least one episode of mania and at least one clearly recognizable episode of major depression?
a. Hypomania
b. Melancholic depression
c. Psychotic depression
d. Bipolar I disorder
d. Bipolar I disorder
Which describes the goal of treatment during the acute phase of bipolar therapy?
a. Preventing relapse
b. Limiting the severity and duration of episodes
c. Medically stabilizing the client while maintaining safety
d. Maintaining compliance with the medication regimen
c. Medically stabilizing the client while maintaining safety
Which condition is characterized by hypomanic episodes alternating with persistent depressive episodes that have occurred over the past two years?
a. Hypomania
b. Melancholic depression
c. Psychotic depression
d. Cyclothymic disorder
d. Cyclothymic disorder
Which of the following terms refers to a client's inability to find meaning or pleasure in existence?
a. Anergia
b. Anhedonia
c. Euphoria
d. Grandiosity
b. Anhedonia
A client with bipolar spectrum disorder is talking in a nonstop manner, very loud and driven, and very difficult to interrupt. Which term is used to describe the behavior?
a. Flight of ideas
b. Grandiosity
c. Pressured speech
d. Clang associations
c. Pressured speech
Which of the following medications are used as first-line mood-stabilizing agents for clients who experience manic or hypomanic episodes?
a. Olanzapine
b. Quetiapine
c. Fluoxetine
d. Lithium and divalproex (Depakote)
d. Lithium and divalproex (Depakote)
Cyclothymic disorder affects up to 1% of the population, but it is not yet clear what causes it. Psychologists have recognized that bipolar disorders occur more frequently in people who have relatives with the disease. This means there is a strong genetic component to cyclothymic disorder as well. Also, cyclothymia is taken as a warning sign by psychiatrists as it sometimes develops into full manic-depression.
a. True
b. False
a. True
A client in a behavioral health unit begins to behave violently toward a staff member. Which is the nurse's first priority in managing this situation?
a. Search the client for contraband and dangerous objects
b. Confront the client by stating, "Violence is unacceptable."
c. Approach the client saying, "You seem to be very upset."
d. Assure the safety of staff, clients, and others
d. Assure the safety of staff, clients, and others
Which of the following is a less severe depression characterized by depressive symptoms that have been present for at least 2 years?
a. Persistent depressive disorder
b. Major depressive disorder
c. Psychotic depression
d. Seasonal depression
a. Persistent depressive disorder
Which of the following is characterized by a distinct period of abnormally and persistently elevated, expansive or irritable mood and abnormally and persistently increased goal-directed activity or energy lasting at least one week?
a. A manic episode
b. Melancholic depression
c. Rapid cycling
d. Cyclothymic disorder
a. A manic episode
The periods of elevated mood experienced by those with cyclothymic disorder are called hypomanic episodes. In medicine, the prefix 'hypo' means below, or less than, so hypo-manic means that it does not quite meet the criterion for an episode of mania.
a. True
b. False
a. True
35. An adult client begins to display angry and aggressive behavior. Which of the following actions by the nurse would be an appropriate de-escalation technique?
a. Place the client in seclusion
b. Administer an IM injection of an antipsychotic
c. Loudly telling the client, "Sit down, you're embarrassing yourself."
d. Speaking softly in a nonjudgmental manner, the nurse will assure the client that they are on their side
d. Speaking softly in a nonjudgmental manner, the nurse will assure the client that they are on their side