Bipolar Disorder (NCLEX) Quiz: Mania vs Depression

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2. Which assessment finding most strongly indicates risk for medication non-compliance in a bipolar patient?

Patient states medications prevent the 'highs' they enjoy

Patient attends all follow-up appointments

Patient reports regular sleep schedule

Patient maintains stable employment

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4. Which sign indicates the beginning of a manic episode in a patient with known bipolar disorder?

Decreased appetite and social withdrawal

Increased talkativeness and goal-directed activity

Increased appetite and weight gain

Fatigue and difficulty concentrating

5. A patient's bipolar symptoms worsen after starting an SSRI. What is the likely cause?

Mood destabilization or switch to mania without mood stabilizer

Allergic reaction to the medication

Dehydration from increased perspiration

Vitamin B12 deficiency triggered by the drug

6. During mania, which communication technique is most therapeutic?

Use short, simple sentences and set clear limits

Engage in lengthy detailed discussions

Debate the patient's grandiose beliefs

Avoid all eye contact to reduce stimulation

7. A patient on valproic acid requires monitoring of which laboratory value?

Liver function tests and platelet count

Renal function and calcium levels

Blood glucose and A1C

Cholesterol and triglycerides only

8. True or False: Bipolar II disorder includes at least one manic episode by definition.

True

False

9. True or False: Antidepressants alone are safe first-line treatment for bipolar depression.

True

False

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11. A patient in a manic episode exhibits pressured speech, flight of ideas, and decreased need for sleep. Which neurotransmitter is primarily implicated in these symptoms?

Dopamine excess

Serotonin deficiency

GABA increase

Acetylcholine decrease

12. Which lifestyle factor most significantly contributes to mood destabilization in bipolar disorder?

Irregular sleep patterns

Moderate caffeine use

Regular exercise

Consistent meal timing

13. Lamotrigine is particularly effective for which phase of bipolar disorder?

Acute mania

Bipolar depression

Maintenance therapy for both phases

Hypomanic episodes only

14. A patient in the depressive phase reports suicidal ideation. Which assessment is essential?

Severity, specificity, and intent of suicidal thoughts

Patient's financial status and living situation

Family history of diabetes

Occupational history and previous employers

15. Hypomania differs from mania primarily in which aspect?

Duration and functional impairment

Absence of mood elevation

Presence of depressive symptoms

Greater need for hospitalization

16. During a manic episode, a patient exhibits grandiose delusions and poor judgment. Which nursing intervention is most appropriate?

Provide a calm, structured environment with minimal stimulation

Encourage participation in group activities to boost mood

Allow the patient to make all financial decisions

Confront the patient about unrealistic beliefs

17. A patient taking lithium reports tremor, polyuria, and polydipsia. What is the nurse's priority action?

Increase fluid intake and monitor output

Check serum lithium level immediately

Discontinue lithium without medical consultation

Reduce sodium intake to increase lithium retention

18. Which medication is considered first-line for acute mania in bipolar disorder?

Fluoxetine

Lithium or atypical antipsychotics

Buspirone

Benztropine

19. A 28-year-old reports decreased need for sleep, increased goal-directed activity, and elevated mood lasting 3 days. What diagnosis is most likely?

Bipolar I disorder, current manic episode

Bipolar II disorder, current hypomanic episode

Cyclothymia

Major depressive disorder with anxious features

20. During a depressive episode in bipolar II disorder, which symptom distinguishes it from major depressive disorder?

History of at least one hypomanic episode

Presence of psychotic features

Longer duration of depression

Greater severity of anhedonia

Bipolar Quiz: Mania or Depression?

1. A patient reports 5 consecutive days of elevated mood, increased energy, and decreased sleep need. This presentation is consistent with ____.

2.

What first name or nickname would you like us to use?

2. Which assessment finding most strongly indicates risk for medication non-compliance in a bipolar patient?

3. The term 'rapid cycling' in bipolar disorder refers to ____ or more mood episodes per year.

4. Which sign indicates the beginning of a manic episode in a patient with known bipolar disorder?

5. A patient's bipolar symptoms worsen after starting an SSRI. What is the likely cause?

6. During mania, which communication technique is most therapeutic?

7. A patient on valproic acid requires monitoring of which laboratory value?

8. True or False: Bipolar II disorder includes at least one manic episode by definition.

9. True or False: Antidepressants alone are safe first-line treatment for bipolar depression.

10. The therapeutic window for lithium serum levels is typically ____ mEq/L for acute mania.

11. A patient in a manic episode exhibits pressured speech, flight of ideas, and decreased need for sleep. Which neurotransmitter is primarily implicated in these symptoms?

12. Which lifestyle factor most significantly contributes to mood destabilization in bipolar disorder?

13. Lamotrigine is particularly effective for which phase of bipolar disorder?

14. A patient in the depressive phase reports suicidal ideation. Which assessment is essential?

15. Hypomania differs from mania primarily in which aspect?

16. During a manic episode, a patient exhibits grandiose delusions and poor judgment. Which nursing intervention is most appropriate?

17. A patient taking lithium reports tremor, polyuria, and polydipsia. What is the nurse's priority action?

18. Which medication is considered first-line for acute mania in bipolar disorder?

19. A 28-year-old reports decreased need for sleep, increased goal-directed activity, and elevated mood lasting 3 days. What diagnosis is most likely?

20. During a depressive episode in bipolar II disorder, which symptom distinguishes it from major depressive disorder?