ANSWERS
Mood/ Suicide (8 Questions) - ✔✔ANSWER✔✔-Provide appropriate nursing and
collaborative interventions to minimize the impact of depression including pharmacologic
and nonpharmacologic interventions.
Collaborative care: non pharm - ✔✔ANSWER✔✔-motivational interviewing,
psychotherapy,
pharmacotherapy,
group therapy,
CBT,
light therapy,
exercise,
transcranial magnetic stimulation,
vagus nerve stimulation,
brain stimulation therapy,
exercise and management of emergent situations (DTS/DTO)
Pharm types of antidepressants: - ✔✔ANSWER✔✔-SSRIs (first line)
SNRI
Tricyclic
,Atypical
Selective Serotonin Reuptake Inhibitors (first line) - ✔✔ANSWER✔✔-Fluoxetine(Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Fluvoxamine (Luvox)
Citalopram (Celexa)
Escitalopram (Lexapro)
Selective Serotonin/Norepinephrine Reuptake Inhibitors - ✔✔ANSWER✔✔-
Venlafaxine(Effexor)
Nafazadone (Serzone)
Duloxetine (Cymbalta)
Older adults strongest risk: - ✔✔ANSWER✔✔-social isolation,
solitary living arrangements,
widowhood,
lack of financial resources,
poor health
Recognize when an individual is experiencing a mania. - ✔✔ANSWER✔✔-mania:
agitated/euphoric state
For mania have them in a calm environment and doing an expressive assignment
or encourage them to eat, drink or sleep
Bipolar disorder - ✔✔ANSWER✔✔-Manic and Depression
Manic Symptoms: - ✔✔ANSWER✔✔-Elevated/expansive mood,
inflated self-esteem,
,grandiosity,
delusions of grandeur,
decreased need for sleep,
pressured speech,
flight of ideas,
distractibility,
irritability/agitation/intrusiveness,
increased involvement in goal directed activity,
and excessive activity in high risk activities.
Interventions for mania: - ✔✔ANSWER✔✔-Use a firm, calm approach,
Avoid power struggles,
Be consistent,
Set limits,
Maintain low level of stimuli,
Structured solitary activities until mania is less,
Redirect inappropriate behavior,
Monitor I&O, vital signs,
Offer frequent high calorie drinks and food,
Remind client to eat and drink,
Encourage rest periods,
Supervise dress,
Step-by-step reminders of hygiene
Depressive symptoms: - ✔✔ANSWER✔✔-Depressed mood,
anhedonia,
significant weight change,
change in sleep patterns,
decreased motor activity,
, anergia,
feelings of worthlessness or guilt,
decreased concentration,
thoughts of death/suicide,
and somatic complaints.
Interventions for depression: - ✔✔ANSWER✔✔-motivational interviewing, psychotherapy,
pharmacotherapy,
group therapy,
CBT,
light therapy,
exercise,
and brain stimulation therapy,
and management of emergent situations (DTS/DTO)
minimize the impact of bipolar disorder including non-pharmacologic interventions. -
✔✔ANSWER✔✔-Bipolar Disorder:
monitor for changing or escalating behavior,
safety is #1 priority,
safe environment,
maintain pt. health,
decrease stimulation and
implement rest periods if necessary (nonpharm)
Pharmacological agents include (for bipolar) - ✔✔ANSWER✔✔-Lithium/mood stabilizers
anticonvulsants,
antidepressants