Podcast
Questions and Answers
What is the distinction of a manic episode in Bipolar I disorder?
What is the distinction of a manic episode in Bipolar I disorder?
Bipolar II disorder includes periods of manic episodes.
Bipolar II disorder includes periods of manic episodes.
False
What symptom is associated with a manic episode?
What symptom is associated with a manic episode?
Elevated mood
Bipolar I disorder is the most _____ bipolar disorder, characterized by severe mood swings.
Bipolar I disorder is the most _____ bipolar disorder, characterized by severe mood swings.
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Match the following terms with their definitions:
Match the following terms with their definitions:
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What characterizes a hypomanic episode in Bipolar II Disorder?
What characterizes a hypomanic episode in Bipolar II Disorder?
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Depressive episodes in Bipolar Disorder can last for less than two weeks.
Depressive episodes in Bipolar Disorder can last for less than two weeks.
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What is the key difference between Bipolar I and Bipolar II disorders?
What is the key difference between Bipolar I and Bipolar II disorders?
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Bipolar disorder in older adults often shows greater _______ abnormalities and cognitive disturbances.
Bipolar disorder in older adults often shows greater _______ abnormalities and cognitive disturbances.
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Which of the following is NOT a symptom of a depressive episode?
Which of the following is NOT a symptom of a depressive episode?
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Match the following categories of Bipolar Disorder with their descriptions:
Match the following categories of Bipolar Disorder with their descriptions:
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Psychosis can be present during hypomanic episodes in Bipolar Disorder.
Psychosis can be present during hypomanic episodes in Bipolar Disorder.
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What must depressive episodes be free from to be accurately diagnosed?
What must depressive episodes be free from to be accurately diagnosed?
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What are common symptoms expected in a patient with bipolar disorder I in a manic state?
What are common symptoms expected in a patient with bipolar disorder I in a manic state?
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Children with bipolar disorder typically exhibit irritability and sleep disturbances.
Children with bipolar disorder typically exhibit irritability and sleep disturbances.
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What is the lifetime prevalence rate of bipolar disorder?
What is the lifetime prevalence rate of bipolar disorder?
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Women with severe postpartum psychosis have a four times greater chance of subsequent conversion to __________.
Women with severe postpartum psychosis have a four times greater chance of subsequent conversion to __________.
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Which of the following is NOT a symptom of a mixed episode in bipolar disorder?
Which of the following is NOT a symptom of a mixed episode in bipolar disorder?
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Match the following symptom categories with their descriptions:
Match the following symptom categories with their descriptions:
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There are gender differences in the incidence of bipolar disorder.
There are gender differences in the incidence of bipolar disorder.
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At what age does the symptom onset of bipolar disorder typically begin?
At what age does the symptom onset of bipolar disorder typically begin?
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What is a common comorbid condition associated with Bipolar I Disorder?
What is a common comorbid condition associated with Bipolar I Disorder?
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Sleep deprivation can induce mania in some bipolar patients.
Sleep deprivation can induce mania in some bipolar patients.
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What are the primary neurotransmitters thought to be involved in the manic phase of bipolar disorder?
What are the primary neurotransmitters thought to be involved in the manic phase of bipolar disorder?
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Chronic stress and inflammation are considered factors in the _____ of bipolar disorder.
Chronic stress and inflammation are considered factors in the _____ of bipolar disorder.
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Which disorder has a genetic component evidenced by twin and family studies showing a 60-80% concordance rate?
Which disorder has a genetic component evidenced by twin and family studies showing a 60-80% concordance rate?
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Binge eating is a common comorbidity of Bipolar II Disorder.
Binge eating is a common comorbidity of Bipolar II Disorder.
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Match the following factors with their respective types in the context of bipolar disorder:
Match the following factors with their respective types in the context of bipolar disorder:
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The percentage of relatives of patients with bipolar disorder who also have bipolar disorder or Major Depressive Disorder is _____%.
The percentage of relatives of patients with bipolar disorder who also have bipolar disorder or Major Depressive Disorder is _____%.
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Which medication is considered just as effective as lithium for bipolar disorder treatment?
Which medication is considered just as effective as lithium for bipolar disorder treatment?
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Carbamazepine has a potential side effect of agranulocytosis.
Carbamazepine has a potential side effect of agranulocytosis.
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What monitoring is necessary prior to initiating treatment with Divalproex sodium?
What monitoring is necessary prior to initiating treatment with Divalproex sodium?
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The side effect of ________ is associated with Lamotrigine that can be life threatening.
The side effect of ________ is associated with Lamotrigine that can be life threatening.
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Match the medication with its associated side effects:
Match the medication with its associated side effects:
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Which group of patients is especially susceptible to Stevens-Johnson syndrome when using Carbamazepine?
Which group of patients is especially susceptible to Stevens-Johnson syndrome when using Carbamazepine?
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Stevens-Johnson syndrome symptoms include facial swelling and a red or purple rash.
Stevens-Johnson syndrome symptoms include facial swelling and a red or purple rash.
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What is a common side effect of using Divalproex sodium?
What is a common side effect of using Divalproex sodium?
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Which of the following is a typical affect associated with a dysphoric mood?
Which of the following is a typical affect associated with a dysphoric mood?
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Euphoric mood typically corresponds with an appropriate affect.
Euphoric mood typically corresponds with an appropriate affect.
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What are two main goals of medication interventions for bipolar disorder?
What are two main goals of medication interventions for bipolar disorder?
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Lithium maintains therapeutic blood levels between ____ and ____ mEq/L for acute treatment.
Lithium maintains therapeutic blood levels between ____ and ____ mEq/L for acute treatment.
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Match the following medications to their categories:
Match the following medications to their categories:
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Which intervention is NOT recommended for managing a manic patient?
Which intervention is NOT recommended for managing a manic patient?
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Alcohol or substance abuse can be a problem for manic patients if not treated properly.
Alcohol or substance abuse can be a problem for manic patients if not treated properly.
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Name one major long-term risk of lithium therapy.
Name one major long-term risk of lithium therapy.
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Patients experience ____ alterations during manic episodes.
Patients experience ____ alterations during manic episodes.
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Match the following mood states to their descriptions:
Match the following mood states to their descriptions:
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Which of the following medications is utilized as an antipsychotic?
Which of the following medications is utilized as an antipsychotic?
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Coexisting medical conditions are not relevant in the assessment of bipolar disorder.
Coexisting medical conditions are not relevant in the assessment of bipolar disorder.
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What is the therapeutic blood level for lithium during chronic therapy?
What is the therapeutic blood level for lithium during chronic therapy?
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To prevent relapse in patients with bipolar disorder, it is important to focus on stress reduction, illness management, and ____.
To prevent relapse in patients with bipolar disorder, it is important to focus on stress reduction, illness management, and ____.
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Study Notes
Bipolar Disorders: Nursing Care
- Bipolar disorder is characterized by mood swings alternating between mania or hypomania and depression.
- Mania is a persistently elevated, expansive, or irritable mood.
- Hypomania is a less severe and shorter period of elevated mood than mania.
- Symptoms of mania include inflated self-esteem, decreased need for sleep, excessive talking, racing thoughts, increased activity, and risky behaviors.
- A manic episode lasts for at least one week, or less if hospitalized, and causes marked impairment in social and occupational functioning.
- Bipolar I disorder involves a manic episode, which may be preceded or followed by a major depressive episode.
- Bipolar II disorder involves a hypomanic episode and a major depressive episode.
- Cyclothymic disorder involves numerous hypomanic and depressive periods but does not meet the full criteria for either a manic or major depressive episode.
- Depression is marked by persistent sadness or irritability for at least two weeks, accompanied by loss of interest or pleasure in activities.
- Mixed episodes involve the simultaneous presence of manic and depressive symptoms.
- Bipolar disorder prevalence is 1% to 4%, onset typically between ages 14 and 21.
- Women are at higher risk for depression and rapid cycling, whereas men are at higher risk for manic episodes.
- Potential comorbidities include anxiety disorders, substance use, and eating disorders.
- Biological and genetic factors, chronic stress, and inflammation may play a role in bipolar disorder. Sleep disturbances also contribute to the symptoms.
- Effective nursing care includes assessment of the patient's mood, behavior, thought processes, and speech patterns.
- Critical components of assessments involve mood, expansive mood, and euphoria characterized by elevated and unrestrained expressive behavior.
- Nursing interventions focus on medication management, including mood stabilizers, antipsychotics, and antidepressants, as well as psychosocial interventions like therapeutic interactions, cognitive-behavioral therapy, psychoeducation, family education, and milieu therapy.
- Monitoring lithium levels is critical, as lithium has a narrow therapeutic range.
- Interventions address potential complications like suicide risk, substance abuse, and medical comorbidities.
- Patient safety remains a central concern, especially when addressing aggressive or manic behaviors.
- Proper assessment and treatment can lead to improved outcomes for individuals with bipolar disorder.
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Description
This quiz covers key concepts related to bipolar disorders, including the characteristics, symptoms, and types of bipolar disorder such as Bipolar I and II. You'll explore the nursing care aspects and the impact of mania, hypomania, and depression on patients. Test your understanding of these conditions to enhance your nursing practice.
