(2) Exam 2- (Psych)- Bipolar Disorder Flashcards

0
Q

Bipolar Disorders

What are the three types of bipolar disorders

A

Bipolar 1
Bipolar 2
Cyclothymic

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1
Q

Bipolar Disorders

What is bipolar disorder

A

Mood swings from profound depression too extreme euphoria (mania), with intervening periods of normalcy

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2
Q

Bipolar Disorders

With bipolar 1 disorder, The individual is experiencing or has experienced

A

Full syndrome of manic or mixed symptoms

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3
Q

Bipolar Disorders

With bipolar 2 disorder, The individual is experiencing or has experienced

A

Reoccurring bouts of major depression. Episodic occurrences of hypomania.

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4
Q

Bipolar Disorders

With cyclothymic disorder, The individual is experiencing or has experienced

A

Chronic mood swing disturbance. At least two years of numerous episodes of hypomania and depressed mood

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5
Q

Bipolar Disorders

What is the average age at onset for a first manic episode

A

Early 20s

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6
Q

Bipolar Disorders

What are the signs and symptoms exhibited in children/teens?

A

Irritable mood, psychosis, suicidality, grandiosity, decreased need for sleep, pressured speech, racing thoughts, distractibility, increased and goal directed activity/psychomotor agitation, excessive involvement in pleasurable or risky activity

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7
Q

Bipolar Disorders

What signs and symptoms does a child exhibit that an adult does not

A

A child experiences Irritable mood, psychosis, and suicidality.

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8
Q

Bipolar Disorders

In children and teens what are the best medications to treat rapid cycling and aggressive behaviors and are sometimes used in combination with lithium?

A

Anti-convulsants

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9
Q

Bipolar Disorders

What medications are used to treat children/teens?

A

Lithium

Divalproex

Carbamazepine

Atypical antipsychotics

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10
Q

Bipolar Disorders

What anticonvulsant is best used to treat rapid cycling

A

Depakote

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11
Q

Bipolar Disorders

What anticonvulsant is best used to treat manic and aggressive behaviors

A

Tegretol

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12
Q

Bipolar Disorders
Assessment

Assessment of stage 1

A

Hypomania

Not severe. Does not cause impairment in social occupational functioning.

Does not require hospitalization

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13
Q

Bipolar Disorders
Assessment

Assessment of stage 2

A

Acute mania

Intensification of hypomania symptoms

Requires hospitalization

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14
Q

Bipolar Disorders
Assessment

Assessment of stage 3

A

Delirious Mania

Severe clouding of consciousness and intensified acute mania

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15
Q

Bipolar Disorders

What are the main nursing diagnoses

A

Risk for injury related to extreme hyperactivity

Risk for violence: self-directed or related to hallucinations, delusional thinking, manic excitement

16
Q

Bipolar Disorders

What are the nursing interventions aimed at

A

Maintaining safety a client and others

Restoring client nutritional status

Encourage appropriate client interaction with others

Meeting clients self-care needs