Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Bipolar Chapter 24
Ch 24 Psych Exam 2
| Question | Answer |
|---|---|
| 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
Popular Psychology sets