NUR 380 EXAM 2 QUESTIONS AND ANSWER
depression (major depressive episode) - CORRECT ANSWER✅✅---
depression symptoms - CORRECT ANSWER✅✅-dimished function
-miserable
-PERSISTENT LOW MOOD
-trouble sleeping
-loss of appetite
-anhedonia
anhedonia - CORRECT ANSWER✅✅loss of pleasure/enjoyment
what is the cognitive triad for suicide - CORRECT ANSWER✅✅helpless
hopeless
worthless
priority nursing interventions for depression - CORRECT ANSWER✅✅-risk for suicide
-medication (SSRI)
-proper nutrition
-adequate sleep
- establish relationships
what is the biggest indicator for a suicide attempt? - CORRECT ANSWER✅✅if there was previous
suicide attempt
non pharm interventions for depression - CORRECT ANSWER✅✅-therapeutic relationship
-trust
-rapport
,-INSTILLING HOPE
depression medication - CORRECT ANSWER✅✅-SSRI
-TCA's
_MAOI's
-SNRI
-NDRI
SSRI important things to know - CORRECT ANSWER✅✅-during the first two weeks patient will
experience an increase in anxiety, IT WILL PASS
-increased sujcidiality risk at 2 week mark due to increase in energy
-takes 4-6 weeks to actually start working
nonverbal cues for someone with depression - CORRECT ANSWER✅✅-decreased eye contact
-flat affect
-slumped posture
-tearful
verbal cues for someone with depression - CORRECT ANSWER✅✅-speaking slowly
-anhedonia
-relationship issues
-expresses difficulty with ADL's
medications to help with sleep - CORRECT ANSWER✅✅-trazodone
-prazosin (PTSD nightmares)
-seoquel
-melatonin
depression is one of the leading causes of what? - CORRECT ANSWER✅✅disability
,when does depression become a problem? - CORRECT ANSWER✅✅when it impacts your quality of
life/functioning
what is one of the criteria for being diagnosed with depression - CORRECT ANSWER✅✅others must
notice the mood changes as well not just the patient
what is the treatment for resistant depression - CORRECT ANSWER✅✅ECT (electroconvulsive therapy)
ECT (electroconvulsive therapy) - CORRECT ANSWER✅✅-6 to 12 sessions
-essentially induces seizures
-pt can be fatigued, have memory loss
persistent depressive disorder - CORRECT ANSWER✅✅MILDER DEPRESSION
more just feeling down
feeling down more days than not
how long does someone (adults and kids) need to experience symptoms to be diagnosed with persistent
depressive disorder - CORRECT ANSWER✅✅-more than 2 years for adults
-more than 1year for kids
premenstrual dysphoric disorder - CORRECT ANSWER✅✅-onset: 1 week before meses
-improves with you start period
-no symptoms until next week before menses
IMPACTS QUALITY OF LIFE
, seasonal depressive disorder (when, why, treatment) - CORRECT ANSWER✅✅-starts in fall into winter
months
-impacts circadian rhythm
-treatment is light therapy
postpartum depression - CORRECT ANSWER✅✅-can be blues or mild/moderate/sever
-similar to persistent depressive disorder
-can last for months
when is postpartum depression worse? (time of day) - CORRECT ANSWER✅✅evenings
what do you need to rule out before diagnosing depression? - CORRECT ANSWER✅✅-vitamin b-12
deficiency
-vitamin d deficiency
-iron deficiency
-low TSH
SSRI examples and things to know - CORRECT ANSWER✅✅fluoxetine, escitalopram
can cause sexual dysfunction
SNRI's examples and things to know - CORRECT ANSWER✅✅Effexor, duloxetine
acts on norepinephrine and serotonin... BE CAREFUL WITH ANXIETY
NDRI'S examples and things to know - CORRECT ANSWER✅✅wellbutrin
not for anxiety, not for people with seizures
depression (major depressive episode) - CORRECT ANSWER✅✅---
depression symptoms - CORRECT ANSWER✅✅-dimished function
-miserable
-PERSISTENT LOW MOOD
-trouble sleeping
-loss of appetite
-anhedonia
anhedonia - CORRECT ANSWER✅✅loss of pleasure/enjoyment
what is the cognitive triad for suicide - CORRECT ANSWER✅✅helpless
hopeless
worthless
priority nursing interventions for depression - CORRECT ANSWER✅✅-risk for suicide
-medication (SSRI)
-proper nutrition
-adequate sleep
- establish relationships
what is the biggest indicator for a suicide attempt? - CORRECT ANSWER✅✅if there was previous
suicide attempt
non pharm interventions for depression - CORRECT ANSWER✅✅-therapeutic relationship
-trust
-rapport
,-INSTILLING HOPE
depression medication - CORRECT ANSWER✅✅-SSRI
-TCA's
_MAOI's
-SNRI
-NDRI
SSRI important things to know - CORRECT ANSWER✅✅-during the first two weeks patient will
experience an increase in anxiety, IT WILL PASS
-increased sujcidiality risk at 2 week mark due to increase in energy
-takes 4-6 weeks to actually start working
nonverbal cues for someone with depression - CORRECT ANSWER✅✅-decreased eye contact
-flat affect
-slumped posture
-tearful
verbal cues for someone with depression - CORRECT ANSWER✅✅-speaking slowly
-anhedonia
-relationship issues
-expresses difficulty with ADL's
medications to help with sleep - CORRECT ANSWER✅✅-trazodone
-prazosin (PTSD nightmares)
-seoquel
-melatonin
depression is one of the leading causes of what? - CORRECT ANSWER✅✅disability
,when does depression become a problem? - CORRECT ANSWER✅✅when it impacts your quality of
life/functioning
what is one of the criteria for being diagnosed with depression - CORRECT ANSWER✅✅others must
notice the mood changes as well not just the patient
what is the treatment for resistant depression - CORRECT ANSWER✅✅ECT (electroconvulsive therapy)
ECT (electroconvulsive therapy) - CORRECT ANSWER✅✅-6 to 12 sessions
-essentially induces seizures
-pt can be fatigued, have memory loss
persistent depressive disorder - CORRECT ANSWER✅✅MILDER DEPRESSION
more just feeling down
feeling down more days than not
how long does someone (adults and kids) need to experience symptoms to be diagnosed with persistent
depressive disorder - CORRECT ANSWER✅✅-more than 2 years for adults
-more than 1year for kids
premenstrual dysphoric disorder - CORRECT ANSWER✅✅-onset: 1 week before meses
-improves with you start period
-no symptoms until next week before menses
IMPACTS QUALITY OF LIFE
, seasonal depressive disorder (when, why, treatment) - CORRECT ANSWER✅✅-starts in fall into winter
months
-impacts circadian rhythm
-treatment is light therapy
postpartum depression - CORRECT ANSWER✅✅-can be blues or mild/moderate/sever
-similar to persistent depressive disorder
-can last for months
when is postpartum depression worse? (time of day) - CORRECT ANSWER✅✅evenings
what do you need to rule out before diagnosing depression? - CORRECT ANSWER✅✅-vitamin b-12
deficiency
-vitamin d deficiency
-iron deficiency
-low TSH
SSRI examples and things to know - CORRECT ANSWER✅✅fluoxetine, escitalopram
can cause sexual dysfunction
SNRI's examples and things to know - CORRECT ANSWER✅✅Effexor, duloxetine
acts on norepinephrine and serotonin... BE CAREFUL WITH ANXIETY
NDRI'S examples and things to know - CORRECT ANSWER✅✅wellbutrin
not for anxiety, not for people with seizures
