T1 - Bipolar/Suicide Lecture (Josh)

Question 1

— is defined as a pervasive and sustained emotion that may have a major influence on a person’s perception of the world.

Answer 1

Mood

Question 2

—- is the emotional reaction associated w/ an experience.

Answer 2

Affect

Question 3

Can Bipolar Symptoms reflect a seasonal pattern?

Answer 3

yes

Question 4

Bipolar 1 Disorder

Answer 4

is experiencing or has experienced a full syndrome of manic or mixed symptoms

Question 5

Bipolar 2 Disorder

Answer 5

bouts of major depression w/ episodic occurrence of hypomania

• never had a full manic episode

Question 6

—- includes a full manic episode

—- does not include a full manic episode.

Answer 6

Bipolar 1

Bipolar 2

Question 7

A suicidal client, with a history of manic behavior, is admitted to the ED. The client’s diagnosis is documented as bipolar I disorder: current episode depressed. What is the rationale for this diagnosis instead of a diagnosis of major depressive disorder?

A. The physician does not believe the client is suffering from major depression.
B. The client has experienced a manic episode in the past.
C. The client does not exhibit psychotic symptoms.
D. There is no history of major depression in the client’s family

Answer 7

B. The client has experienced a manic episode in the past.

Question 8

According to DSM-5, what rules out a Dx of major depressive disorder?

Answer 8

a manic episode

Question 9

Stages of Mania:

Answer 9

Stage 1: Hypomania
Stage 2: Acute Mania
Stage 3: Delirious Mania

Question 10

What percentage of peds/adolescents have BPD?

Answer 10

1%

Question 11

What is recommended to diagnose BPD in children/adolescents?

Answer 11

FIND

• Frequency
• Intensity
• Number
• Duration

Question 12

S/S of BPD in Kids/Adolescents:

Answer 12

• Euphoria
• Irritable
• Grandiose
• Decreased need for sleep
• Pressured Speech
• Racing Thoughts
• Distracted
• Obsessive w/ activities
• Pleasure Seeking
• Psychosis
• Suicidality

Question 13

In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis?

A. Risk for injury related to excessive hyperactivity
B. Disturbed sleep pattern related to manic hyperactivity
C. Imbalanced nutrition, less than body requirements related to inadequate intake
D. Situational low self-esteem related to embarrassment secondary to high-risk behaviors

Answer 13

A. Risk for injury related to excessive hyperactivity

Question 14

Is there a cure for BPD?

Answer 14

No, only treatment of symptoms

• learning to cope is very important

Question 15

Suicide rates for singles compared to married persons?

Answer 15

Twice

Question 16

Risk of suicide —- with age.

Answer 16

increases

• especially among men

Question 17

Greatest risk of suicide/

Answer 17

White men > 80

Question 18

Suicidality by ethnicity

Answer 18

• Whites
• Native Americans
• Blacks
• Hispanics
• Asians

Question 19

— —- is associated w/ an increased risk of suicide.

Answer 19

Severe insomnia

Question 20

SAD PERSONS

Answer 20

Sex (male)
Age (adolescents, elderly)
Depression

Previous attempt
ETOH
Rational thinking loss
Social support decrease
Organized plan
No spouse
Sickness