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Bipolar Chapter 24

Ch 24 Psych Exam 2

QuestionAnswer
An abnormally and persistently Elevated mood: euphoria or elation Expansive mood: lack of restraints in expression; overvalued self-importance Irritable mood: easily annoyed and provoked to anger Mania
Distinct period of mania Manic episodes
Rapid shifts in mood with little or no change in external events Mood lability
Major depressive, manic, or mixed episode Bipolar I
Major depression and hypomania Bipolar II
hypomania and depressive episodes not meeting full criteria for major depressive episode Cyclothymic disorder
Depression usually occurring first; marked by intense rage Symptoms reflective of developmental level of the child Children and adolescents
Greater neurologic abnormalities and cognitive disturbances Incidence of mania decreased with age Older Adults
1.1% bipolar I; 1.4% bipolar II Symptoms before age 25 No gender differences in incidence Lifetime prevalence
Female patients at greater risk for depression and rapid cycling than male patients Male patients at greater risk for manic episodes Lifetime prevalence
Anxiety disorders Common comorbid conditions
Panic disorder and social phobia) and substance use Most prevalent
Chronobiologic theories Genetic factors Chronic stress, inflammation, and kindling Biologic theories
Focus on reducing environmental stress and trauma in genetically vulnerable individuals Psychological and social theories
Safety Priority care issues
Minimize and prevent either manic or depressive episodes Help the patient and family learn about the disorder and manage it throughout a lifetime Goals of Treatment
True or false An expansive mood is characterized by euphoria False An elevated mood is characterized as euphoria. An expansive mood is one involving a lack of restraint in expression and overvalued self-importance
Changes in activity, eating, and sleep patterns Diet and body weight Changes in sexual practices Nursing Assessment
thyroid function Laboratory test
Previous use of antidepressants Discontinuation of mood stabilizers Pharmacologic assessment
Sleep Deprivation Imbalanced Nutrition Deficient Fluid Volume Disturbed Personal Identity Signs of Mania
Defensive Coping Risk for Suicide Risk for Violence Ineffective Coping Signs of Mania
Disturbed Sleep Pattern Imbalanced Nutrition Fatigue; Nausea Signs of Depression
Self-Care Deficit Disturbed Thought Processes Sexual Dysfunction Signs of Depression
Lamotrigine Carbamazepine Divalproex sodium Lithium Mood Stabilizers
Administering and monitoring medication Monitoring and managing side effects Monitoring for drug interactions Nursing Interventions
Promoting adherence Teaching points Nursing Interventions
electroconvulsive therapy Other somatic interventions
Which agent would most commonly be prescribed for a patient with bipolar I disorder? Lamotrigine Lithium Carbamazepine Divalproex B. Lithium Although divalproex, carbamazepine, and lamotrigine may be used as mood stabilizers, lithium is the most widely used mood stabilizer.
Is the following statement true or false? Protecting the patient from self-harm is crucial during a manic phase. True. During mania, patients usually violate others’ boundaries, and they may miss the cues indicating anger and aggression from others. Thus, protecting the patient from self-harm as well as harm from others is important.
Teach stress management Practice relaxation techniques Develop a plan for managing emerging symptoms During remission periods
Created by: bolenrocks
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