Boy Interrupted- Pediatric Bipolar Disorder

1. Evan was diagnosed with Bipolar II --this means he had recurrent episodes of major depression that alternated with hypomania (a less extreme and less debilitating type of mania.)

True

False

Bipolar I is the classic and most familar form. It is the only form of the disease that exhibits full mania, all other classifications demonstrate hypomania.

Explanation

Bipolar I is the classic and most familar form. It is the only form of the disease that exhibits full mania, all other classifications demonstrate hypomania.

2. Lithium (a mood stabilizer) is a first line treatment for bipolar disorders but may require up to two weeks to achieve a therapuetic blood level.

True

False

Lithium is commonly used as a first-line treatment for bipolar disorders because it helps stabilize mood. However, it may take up to two weeks for the medication to reach a therapeutic blood level, meaning that it may take some time for the patient to experience the full benefits of the drug. Therefore, the statement "Lithium (a mood stabilizer) is a first-line treatment for bipolar disorders but may require up to two weeks to achieve a therapeutic blood level" is true.

Explanation

Lithium is commonly used as a first-line treatment for bipolar disorders because it helps stabilize mood. However, it may take up to two weeks for the medication to reach a therapeutic blood level, meaning that it may take some time for the patient to experience the full benefits of the drug. Therefore, the statement "Lithium (a mood stabilizer) is a first-line treatment for bipolar disorders but may require up to two weeks to achieve a therapeutic blood level" is true.

3. Pediatric bipolar disorder is complex and is a relatively new diagnosis in children. Identify some of the barriers to early identification and intervention from the list below: (choose all that apply)

Some think seeking help is giving up and admitting to bad parenting

Symptoms may emerge gradually during childhood or adolescence and maybe overlooked.

Psychiatrist will not treat a child with bipolar disorder until their 18th birthday

There are treatment options for patients of all ages who have bipolar disorder.

Explanation

There are treatment options for patients of all ages who have bipolar disorder.

Submit

4. Manic episodes may be characterized by: (choose all that apply)

Flight of ideas

Poor judgement

Fatigue

Reduced need for sleep

Hopelessness

Delusions and hallucinations during severe episodes

Hopelessness and fatigue are common with the depression symptoms of bipolar illness.

Explanation

Hopelessness and fatigue are common with the depression symptoms of bipolar illness.

Submit

5. In the video, Evan was brought to the emergency department after he was found on the roof of his school building. Identify the ways we provide for the safety of suicidal children who present to the ED: (choose all that apply)

There is a strict no visitor policy (including no parents) for pediatric suicidal patients

Pediatric suicidal patients are place in rooms 12 & 13

Special pyschiatric bathroom

Security is available for observation

The correct answer is that pediatric suicidal patients are placed in rooms 12 & 13, a special psychiatric bathroom is provided, and security is available for observation. This means that when a suicidal child presents to the emergency department, they are assigned specific rooms for their safety, provided with a special bathroom to prevent any harm, and security personnel are present to monitor their behavior and ensure their safety.

Explanation

The correct answer is that pediatric suicidal patients are placed in rooms 12 & 13, a special psychiatric bathroom is provided, and security is available for observation. This means that when a suicidal child presents to the emergency department, they are assigned specific rooms for their safety, provided with a special bathroom to prevent any harm, and security personnel are present to monitor their behavior and ensure their safety.

Submit