Exam 3 NURS 623, Psychosocial and Geriatric questions and answers

* have you felt down or hopeless over the past month *have you had little interest in doing things over the past month What two questions would you ask to screen for major depressive disorder? *hallucinations or delusions *suicidal thoughts *extreme self care deficits (not able to care for basic needs) *severe adverse effects from antidepressant medications (severe urinary retention, fluctuation in BP, seizures, cardiac complications) What are the danger signs and symptoms of depression? Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:06 / 0:15 Full screen Brainpower Read More *few days after delivery to 6 months When can postpartum depression happen? S-sex A-age D-depression P-previous attempt E-ethanol abuse R-rationale thinking loss S-social support loss O-organized plan N- no spouse A- availability of lethal means S-sickness What is the pneumonic for acute suicide risk? *hopelessness about the future *suicidal thought accompanied by plan and intent *giving away possessions, quitting a job, appearance of peace What are some red flags for suicidal attempt? suicide Self mutilation, suicide threats and attempts, hallucinations and delusions all indicate high risk for ? only a 1 week supply should be filled with NO refills When prescribing a patient medications that have a possible suicide risk what must you remember? there can be an increased risk for suicide You place your patient on antidepressants after about 2 weeks their mood lifts, what must you warn families about when this happens? A person is experiencing akathisia, a extrapyramidal symptoms of their medication, what is this? *restlessness, impaired concentration, unable to remain calm; pacing, foot tapping, shifting weight from foot to foot * discontinue medication A person is experiencing dystonia, a extrapyramidal symptoms of their medication, what is this? *involuntary muscle contractions affecting the head and neck (hoarseness, laryngeal spasms, oculogyric crisis) may involve torso and extremities A person is experiencing tardive dyskinesia, a extrapyramidal symptoms of their medication, what is this? involuntary rapid movements of the face (lip smacking, grimacing, facial distortions)