Bipolar Disorder Medication Management Quiz
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Questions and Answers

What are the primary mood disorders mentioned in the text?

  • Major depressive disorder and bipolar disorder (correct)
  • Schizophrenia and dissociative identity disorder
  • Generalized anxiety disorder and panic disorder
  • Obsessive-compulsive disorder and post-traumatic stress disorder

    • How long does a major depressive episode typically last?

  • At least 3 days
  • At least 2 weeks (correct)
  • At least 1 month
  • At least 6 months

    • What neurotransmitters are focused on as major biogenic amines implicated in mood disorders?

  • Serotonin and norepinephrine (correct)
  • Endorphins and cortisol
  • GABA and glutamate
  • Dopamine and acetylcholine

    • What is Premenstrual dysphoric disorder defined as?

    <p>Recurrent, moderate psychological and physical symptoms that occur during the week before menses and resolve with menstruation</p> Signup and view all the answers

    What triggers certain physiological and chemical changes in the brain, significantly altering the balance of neurotransmitters?

    <p>Psychosocial stressors and interpersonal events</p> Signup and view all the answers

    What do genetic studies implicate in the transmission of major depression?

    <p>First-degree relatives who are at twice the risk for developing depression compared with the general population</p> Signup and view all the answers

    What are the symptoms of Premenstrual dysphoric disorder?

    <p>Moderate psychological and physical symptoms during the week before menses</p> Signup and view all the answers

    What is passive suicidal ideation?

    <p>Thinking about wanting to die but having no plans to cause one's death</p> Signup and view all the answers

    Who is considered more potentially lethal in terms of suicidal ideation?

    <p>People with active suicidal ideation</p> Signup and view all the answers

    What is a key factor in conducting a suicide lethality assessment?

    <p>Determining the degree of planning, including time, method, and place</p> Signup and view all the answers

    What is a recommended nursing intervention for a client at risk for suicide?

    <p>Instituting a no-suicide contract</p> Signup and view all the answers

    What is the focus of the national legal and ethical debate surrounding assisted suicide?

    <p>Court decisions related to the actions of Dr. Jack Kevorkian</p> Signup and view all the answers

    Who is at an increased risk for suicide according to the text?

    <p>Single adults</p> Signup and view all the answers

    What is the significance of the day and time when most suicides happen?

    <p>Most suicides happen on Monday mornings when most people return to work</p> Signup and view all the answers

    What is the role of antidepressant treatment in relation to suicidal ideation?

    <p>Antidepressant treatment can actually give clients with depression the energy to act on suicidal ideation</p> Signup and view all the answers

    What is a key responsibility of nurses when caring for suicidal people?

    <p>Conveying the belief that one person can make a difference in another’s life</p> Signup and view all the answers

    What percentage of clients with depression exhibit elevated glucocorticoid activity?

    <p>40%</p> Signup and view all the answers

    How much more common is major depression in women compared to men?

    <p>2 times</p> Signup and view all the answers

    What percentage of individuals with depression experience a recurrence of the condition?

    <p>50%</p> Signup and view all the answers

    How many treatments of Electroconvulsive Therapy (ECT) are needed for sustained improvement?

    <p>6 to 9 treatments</p> Signup and view all the answers

    What are the goals of combined therapy for depression?

    <p>Symptom remission</p> Signup and view all the answers

    What scale is used to assess the range of client behaviors and symptoms in depression?

    <p>Hamilton Rating Scale for Depression</p> Signup and view all the answers

    What are the primary therapy for major depression?

    <p>Medications</p> Signup and view all the answers

    What is the lifetime risk of bipolar disorder?

    <p>1.2%</p> Signup and view all the answers

    Which drug has traditionally relied on for the treatment of mania?

    <p>Lithium</p> Signup and view all the answers

    What is the therapeutic range for serum levels of lithium?

    <p>0.5 to 1.2 mEq/L</p> Signup and view all the answers

    Which nursing diagnoses are commonly associated with manic phase clients?

    <p>Risk for violence, injury, imbalanced nutrition</p> Signup and view all the answers

    What is the main concern with the use of bupropion for smoking cessation?

    <p>Serious neuropsychiatric reactions</p> Signup and view all the answers

    Which drugs are used in bipolar disorder treatment, besides lithium?

    <p>Sodium valproate, carbamazepine, anticonvulsants</p> Signup and view all the answers

    Which condition ranks second to major depression in worldwide disability?

    <p>Bipolar disorder</p> Signup and view all the answers

    Study Notes

    Bipolar Disorder and Medication Management

    • FDA issued a BLACK BOX WARNING for bupropion due to serious neuropsychiatric reactions when used for smoking cessation
    • Bipolar disorder ranks second to major depression in worldwide disability, with a 1.2% lifetime risk and 15% risk of completed suicide
    • Manic phase clients may exhibit risky behaviors, poor judgment, and difficulty understanding illness impact on others
    • Nursing diagnoses for manic phase clients commonly include risk for violence, injury, imbalanced nutrition, and ineffective coping
    • Nursing interventions for clients in the manic phase include ensuring physical safety, setting limits, and using simple communication
    • Bipolar disorder involves cycling between mania, normalcy, and depression, with various manifestations of manic behavior
    • Treatment of mania has traditionally relied on lithium, with other drugs such as atypical antipsychotics and antiepileptics also proving effective
    • Lithium, despite potential toxicity, is consistently effective in treating mania and requires ongoing monitoring of serum levels
    • Lithium has a narrow therapeutic index, with a therapeutic range for serum levels of 0.5 to 1.2 mEq/L
    • Other drugs used in bipolar disorder treatment include sodium valproate, carbamazepine, anticonvulsants, and clonazepam
    • FDA issued a BLACK BOX WARNING for aripiprazole and olanzapine due to potential adverse effects
    • Suicidal thoughts are common in mood disorders, with over 45,000 suicides reported annually in the United States

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    Description

    Test your knowledge of bipolar disorder and medication management with this quiz. Explore the FDA black box warnings, nursing diagnoses and interventions for manic phase clients, and the use of lithium and other drugs in treating bipolar disorder.

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