Mood & Affect

What are normal lithium levels

0.6-1.2 mEq/L

About how many individuals with major depression have elevated inflammatory biomarkers in the absence of physical illness

1/3

If an individual has cyclothymic disorder, what is the risk they will develop * bipolar I or bipolar II disorder?

15%-50%

Children with a diagnosis of disruptive mood dysregulation disorder have temper tantrums at least how many times per week?

3

What is rapid cycling?

4 or more episodes (MDE, manic, mixed, or hypomanic) in one year

Deep brain stimulation (DBS)

Electrodes surgically implanted into specific areas of the brain• Stimulates under active areas; invasive, reversibe

A client has a maintenance lithium level of 0.8 mmol/L. The nurse should assess the client for which manifestations?

Fairly good control of mania symptoms

Repetitive transcranial magnetic stiumulation (rTMS)

MRI-strength magnetic pulses; noninvasive• Alleviate symptoms if mildly treatment-resistant depression

Depressive disorder due to another medical condition may be caused by disorders that affect the body's systems or from long-term illnesses that cause ongoing pain. There are clear associations, along with ____________ ____________, with some disease states.

Neuroanatomical changes

Does repetitive transcranial magnetic stimulation (rTMS) have FDA approval for use in Bipolar Depression?

No

Which of the following physical symptoms may be present in premenstrual dysphoric disorder?

Overeating, sleep disturbance, breast tenderness, aching, bloating, hypersomnia, or insomnia, weight gain

A client in the manic phase of bipolar disorder arrives at the outpatient psychiatric clinic. To help the client manage a manic episode, the nurse should suggest that the client:

Reorganize a kitchen cabinet

What are considered adverse childhood experiences

Sexual abuse, emotional abuse, physical abuse, neglect, metal illness in the home, witnessing spousal abuse, substance use in the home

When assessing a hospitalized client diagnosed with major depression and borderline personality disorder, the nurse should ask the client about which of the following first?

Suicidal thoughts

Early-onset bipolar is associated with high rates of what?

Suicide attempts

When is the typical onset of persistent depressive disorder?

Teenage years

Vagus nerve stimulation (VNS)

Treatment for epilepsy; found to improve mood• Treatment resistant depression; efficacy still being established

Full Code

Variation of full code; use of drugs for resuscitation without CPR use

A client admits to having thoughts of suicide. The client is lethargic, withdrawn, and irritable. In conversations with the nurse, they stress their faults. When he starts to point out the things they cannot do, which response by the nurse is best?

You were able to write a letter to your friend today

The nurse correctly judges that the danger of a suicide attempt is greatest with which client behavior?

increase in energy level

Allow Natural Death (AND)

term used to replace"no code"or DNR, can be referred to as "comfort measures only" status

On average, how many years do individuals wait between the onset of symptoms and receiving treatment?

Almost 10 years

Chemical Code

Complete and total heroic measures; may include CPR, drugs, and mechanical ventilation

Do not resuscitate (DNR)

No code, allows person to die with comfort measures only nd without technology interference