NUR3678 Final Exam Guide With
Complete Solution
What is dysthymia/persistent dysthymic disorder? - ANSWER sad or "down in
the dumps", better in the morning and deteriorates as day progresses, no
evidence of psychotic symptoms, chronically depressed mood for most of the
day, more days than not, at least 2 years
what are the symptoms of PDD/dysthymic disorder? (affective) - ANSWER
helpless, powerless
what are the symptoms of PDD/dysthymic disorder? (behavioral) - ANSWER
slowed physical movements, slumped posture, limited verbalization
what are the symptoms of PDD/dysthymic disorder? (cognitive) - ANSWER
retarded thinking processes, difficulty with concentration
what are the symptoms of PDD/dysthymic disorder? (physiological) -
ANSWER anorexia or overeating, sleep disturbance, headaches
what is major depressive disorder? - ANSWER depressed mood, loss of
interest in usual activities, symptoms present for at least 2 weeks, no history
of mania, not attributed to use of substances or medical condition, mood
worse in morning and improves slightly during day
what are the symptoms of major depressive disorder? (affective) - ANSWER
feelings of total despair, worthlessness, flat affect
what are the symptoms of major depressive disorder? (behavioral) - ANSWER
psychomotor retardation, curled up position, absence of communication
,what are the symptoms of major depressive disorder? (cognitive) - ANSWER
prevalent delusional thinking, with delusions of persecution and somatic
delusions, confusion, suicidal thoughts
what are the symptoms of major depressive disorder? (physiological) -
ANSWER a general slow down of the entire body
what is the warning on all antidepressants? - ANSWER all antidepressants
carry a FDA black box warning for increased risk of suicidality in children and
adolescents
why are antidepressants so dangerous in the beginning of taking them? -
ANSWER when starting antidepressants, they give the patient an increase in
energy, which can cause them to have more energy to form and carry out a
plan for suicide
what is the most common treatment for depression? - ANSWER
antidepressants and psychosocial therapies
what intervention would a nurse use for a depressed person who is mute? -
ANSWER make observations, direct questions can raise the patients anxiety
levels so pointing to commonalities in the environment can reinforce reality
what intervention would the nurse use for a depressed person who cannot
focus? - ANSWER use simple, concrete words because slowed thinking and
difficulty concentrating impair comprehension
what intervention would the nurse use with a depressed patient who is
comprehending very slowly? - ANSWER allow time for the patient to respond
because slowed thinking necessitates time to form a response
what intervention would the nurse use with a depressed patient who they
,think is suicidal? - ANSWER listen for covert messages and ask about suicide
plans because people often experience relief and decrease in feelings of
isolation when they share thoughts of suicide or self harm
what intervention would the nurse use to avoid false reassurances with a
depressed patient? - ANSWER do not say things such as "things will look up"
or "everyone gets down once in a while" because these tend to minimize the
patients feelings and can increase feelings of guilt and worthlessness
what is a valuable intervention the nurse can use with a depressed patient? -
ANSWER sitting with a patient in silence
what should people taking MAOI's avoid? (drugs) - ANSWER OTC
medications/other antidepressants
what should people taking MAOI's avoid? (food) - ANSWER foods containing
tyramines
what do MAOI's do in the brain? - ANSWER prevent the breakdown of
norepinephrine, serotonin, dopamine
why do people taking MAOI's need to stay away from foods with tyramine? -
ANSWER MAOI's inhibit the breakdown of tyramine in the liver, and increase
tyramine lead to HTN, hypertensive crisis, CVA, and possible death
what medication can assist with stopping depression and smoking? -
ANSWER bupropion
why does bupropion help with stopping smoking and depression? - ANSWER
this medication can help with nicotine withdrawal effects through the
stimulation of nicotinic acetylcholine receptors
what nursing interventions would a nurse use for a patient with depression in
, order to help them to communicate? - ANSWER help the patient question
underlying assumptions and beliefs and consider alternate explanations,
work with the patient to identify cognitive distortions that encourage
negative self appraisal, encourage activities that can raise self esteem,
discuss physical activities that the patient enjoys, encourage the formation of
supportive relationships, and provide information for spiritual information
what nursing interventions would the nurse use for a depressed patient with
anorexia? - ANSWER offer small, high calorie high protein food and drink
throughout the day and evening, offer fluids frequently, encourage family
and friends to remain with the patient during meals, ask the patient which
food or drinks are preferred and offer choices, weigh the patient weekly and
observe eating patterns
what nursing interventions would the nurse use for a depressed patient with
insomnia? - ANSWER provide periods of rest after activities, encourage the
patient to get up and dress and stay out of bed during the day, encourage
the use of relaxation measures in the evening, reduce environmental and
physical stimulants in the evening, give decaffeinated coffee, soft lights, soft
music, quiet activities
what nursing interventions would the nurse use for a depressed patient with
self care deficits? - ANSWER encourage the use of toothbrush, washcloth,
soap, makeup, and shaving equipment, give step by step reminders such as
"wash the right side of your face, now the left"
Complete Solution
What is dysthymia/persistent dysthymic disorder? - ANSWER sad or "down in
the dumps", better in the morning and deteriorates as day progresses, no
evidence of psychotic symptoms, chronically depressed mood for most of the
day, more days than not, at least 2 years
what are the symptoms of PDD/dysthymic disorder? (affective) - ANSWER
helpless, powerless
what are the symptoms of PDD/dysthymic disorder? (behavioral) - ANSWER
slowed physical movements, slumped posture, limited verbalization
what are the symptoms of PDD/dysthymic disorder? (cognitive) - ANSWER
retarded thinking processes, difficulty with concentration
what are the symptoms of PDD/dysthymic disorder? (physiological) -
ANSWER anorexia or overeating, sleep disturbance, headaches
what is major depressive disorder? - ANSWER depressed mood, loss of
interest in usual activities, symptoms present for at least 2 weeks, no history
of mania, not attributed to use of substances or medical condition, mood
worse in morning and improves slightly during day
what are the symptoms of major depressive disorder? (affective) - ANSWER
feelings of total despair, worthlessness, flat affect
what are the symptoms of major depressive disorder? (behavioral) - ANSWER
psychomotor retardation, curled up position, absence of communication
,what are the symptoms of major depressive disorder? (cognitive) - ANSWER
prevalent delusional thinking, with delusions of persecution and somatic
delusions, confusion, suicidal thoughts
what are the symptoms of major depressive disorder? (physiological) -
ANSWER a general slow down of the entire body
what is the warning on all antidepressants? - ANSWER all antidepressants
carry a FDA black box warning for increased risk of suicidality in children and
adolescents
why are antidepressants so dangerous in the beginning of taking them? -
ANSWER when starting antidepressants, they give the patient an increase in
energy, which can cause them to have more energy to form and carry out a
plan for suicide
what is the most common treatment for depression? - ANSWER
antidepressants and psychosocial therapies
what intervention would a nurse use for a depressed person who is mute? -
ANSWER make observations, direct questions can raise the patients anxiety
levels so pointing to commonalities in the environment can reinforce reality
what intervention would the nurse use for a depressed person who cannot
focus? - ANSWER use simple, concrete words because slowed thinking and
difficulty concentrating impair comprehension
what intervention would the nurse use with a depressed patient who is
comprehending very slowly? - ANSWER allow time for the patient to respond
because slowed thinking necessitates time to form a response
what intervention would the nurse use with a depressed patient who they
,think is suicidal? - ANSWER listen for covert messages and ask about suicide
plans because people often experience relief and decrease in feelings of
isolation when they share thoughts of suicide or self harm
what intervention would the nurse use to avoid false reassurances with a
depressed patient? - ANSWER do not say things such as "things will look up"
or "everyone gets down once in a while" because these tend to minimize the
patients feelings and can increase feelings of guilt and worthlessness
what is a valuable intervention the nurse can use with a depressed patient? -
ANSWER sitting with a patient in silence
what should people taking MAOI's avoid? (drugs) - ANSWER OTC
medications/other antidepressants
what should people taking MAOI's avoid? (food) - ANSWER foods containing
tyramines
what do MAOI's do in the brain? - ANSWER prevent the breakdown of
norepinephrine, serotonin, dopamine
why do people taking MAOI's need to stay away from foods with tyramine? -
ANSWER MAOI's inhibit the breakdown of tyramine in the liver, and increase
tyramine lead to HTN, hypertensive crisis, CVA, and possible death
what medication can assist with stopping depression and smoking? -
ANSWER bupropion
why does bupropion help with stopping smoking and depression? - ANSWER
this medication can help with nicotine withdrawal effects through the
stimulation of nicotinic acetylcholine receptors
what nursing interventions would a nurse use for a patient with depression in
, order to help them to communicate? - ANSWER help the patient question
underlying assumptions and beliefs and consider alternate explanations,
work with the patient to identify cognitive distortions that encourage
negative self appraisal, encourage activities that can raise self esteem,
discuss physical activities that the patient enjoys, encourage the formation of
supportive relationships, and provide information for spiritual information
what nursing interventions would the nurse use for a depressed patient with
anorexia? - ANSWER offer small, high calorie high protein food and drink
throughout the day and evening, offer fluids frequently, encourage family
and friends to remain with the patient during meals, ask the patient which
food or drinks are preferred and offer choices, weigh the patient weekly and
observe eating patterns
what nursing interventions would the nurse use for a depressed patient with
insomnia? - ANSWER provide periods of rest after activities, encourage the
patient to get up and dress and stay out of bed during the day, encourage
the use of relaxation measures in the evening, reduce environmental and
physical stimulants in the evening, give decaffeinated coffee, soft lights, soft
music, quiet activities
what nursing interventions would the nurse use for a depressed patient with
self care deficits? - ANSWER encourage the use of toothbrush, washcloth,
soap, makeup, and shaving equipment, give step by step reminders such as
"wash the right side of your face, now the left"
