Podcast
Questions and Answers
What are the primary mood disorders mentioned in the text?
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?
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?
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?
What is Premenstrual dysphoric disorder defined as?
What triggers certain physiological and chemical changes in the brain, significantly altering the balance of neurotransmitters?
What triggers certain physiological and chemical changes in the brain, significantly altering the balance of neurotransmitters?
What do genetic studies implicate in the transmission of major depression?
What do genetic studies implicate in the transmission of major depression?
What are the symptoms of Premenstrual dysphoric disorder?
What are the symptoms of Premenstrual dysphoric disorder?
What is passive suicidal ideation?
What is passive suicidal ideation?
Who is considered more potentially lethal in terms of suicidal ideation?
Who is considered more potentially lethal in terms of suicidal ideation?
What is a key factor in conducting a suicide lethality assessment?
What is a key factor in conducting a suicide lethality assessment?
What is a recommended nursing intervention for a client at risk for suicide?
What is a recommended nursing intervention for a client at risk for suicide?
What is the focus of the national legal and ethical debate surrounding assisted suicide?
What is the focus of the national legal and ethical debate surrounding assisted suicide?
Who is at an increased risk for suicide according to the text?
Who is at an increased risk for suicide according to the text?
What is the significance of the day and time when most suicides happen?
What is the significance of the day and time when most suicides happen?
What is the role of antidepressant treatment in relation to suicidal ideation?
What is the role of antidepressant treatment in relation to suicidal ideation?
What is a key responsibility of nurses when caring for suicidal people?
What is a key responsibility of nurses when caring for suicidal people?
What percentage of clients with depression exhibit elevated glucocorticoid activity?
What percentage of clients with depression exhibit elevated glucocorticoid activity?
How much more common is major depression in women compared to men?
How much more common is major depression in women compared to men?
What percentage of individuals with depression experience a recurrence of the condition?
What percentage of individuals with depression experience a recurrence of the condition?
How many treatments of Electroconvulsive Therapy (ECT) are needed for sustained improvement?
How many treatments of Electroconvulsive Therapy (ECT) are needed for sustained improvement?
What are the goals of combined therapy for depression?
What are the goals of combined therapy for depression?
What scale is used to assess the range of client behaviors and symptoms in depression?
What scale is used to assess the range of client behaviors and symptoms in depression?
What are the primary therapy for major depression?
What are the primary therapy for major depression?
What is the lifetime risk of bipolar disorder?
What is the lifetime risk of bipolar disorder?
Which drug has traditionally relied on for the treatment of mania?
Which drug has traditionally relied on for the treatment of mania?
What is the therapeutic range for serum levels of lithium?
What is the therapeutic range for serum levels of lithium?
Which nursing diagnoses are commonly associated with manic phase clients?
Which nursing diagnoses are commonly associated with manic phase clients?
What is the main concern with the use of bupropion for smoking cessation?
What is the main concern with the use of bupropion for smoking cessation?
Which drugs are used in bipolar disorder treatment, besides lithium?
Which drugs are used in bipolar disorder treatment, besides lithium?
Which condition ranks second to major depression in worldwide disability?
Which condition ranks second to major depression in worldwide disability?
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.