N244 TEST 2 QUESTIONS AND ANSWERS 2025
Mood Disorders: 2 ends of spectrum - CORRECT ANSWER-depression (lowest)
hypomania (middle)
mania (highest above hypomania)
Mood Disorders: Mania - CORRECT ANSWER-over the top energetic (bipolar)
Mood Disorders: Depression may be comorbid with the following - CORRECT
ANSWER--anxiety disorders
-psychotic disorders (schizophrenia)
-substance use disorders: can have substance induced mood disorder
-eating disorders
-personality disorders
Mood Disorders: Clients w/ depression are at high risk for suicidality especially if the
client has: - CORRECT ANSWER-- family history of suicide attempts
-anxiety disorder
-panic attacks
-poor self esteem
-lack of social support
-chronic medical condition
Mood Disorders: MDD: single/recurrent depressive episodes clients w/ depression have
symptoms everyday for 2 WEEKS including: - CORRECT ANSWER--depressive mood
-insomnia/hypersomnia
-indecisiveness
-suicidal ideation
-suicide attempts
-increased or decreased motor activity (psychomotor retardation)
-inability to feel pleasure: anhedonia
-wt changes
Mood Disorders: Different types of depression: MDD with psychotic features -
CORRECT ANSWER-may experience auditory hallucinations and delusions
-
Mood Disorders: Different types of depression: MDD with Postpartum onset -
CORRECT ANSWER--begins 4 weeks after childbirth
-may include delusions
,-puts infant at high risk
Mood Disorders: Different types of depression: seasonal characteristics - CORRECT
ANSWER-SAD
-occurs during winter
-may be treated with light therapy
Mood Disorders: Different types of depression: Dysthymic Disorder - CORRECT
ANSWER-- milder form of depression w/ early onset
-begins in childhood or adolesence
-lasts at least 2 years in length for adults
- contains at least 3 clinical findings of depression
-may turn into MDD later on
Mood Disorders: Different types of depression: Premenstrual disorder - CORRECT
ANSWER-PMDD
-associated w/ leutal phase of menstrual cycle
-emotional lability + persistent or severe anger
Assessments for depression: 2 Major things to look for - CORRECT ANSWER--family
history
-previous personal history
-(understanding that in elderly patients, depression can look like dementia): like memory
loss, confusion, etc.
-
Assessments for depression: In children and adolescents - CORRECT ANSWER--this
age range can have comorbid conditions and may meet the criteria for more than 1
mental health disorder
Assessments for depression: Characteristics of good mental health in children -
CORRECT ANSWER--ability to interpret reality
-positive self concept
-ability to cope w/ stress and anxiety in age appropriate way
-mastery of developmental tasks
ability to express oneself spontaneously and creatively
-ability to develop and maintain satisfying relationships
Depression Manifestations in Children: - CORRECT ANSWER--feelings of sadness
-loss of appetite
, -nonspecific complaints related to health
-school performance dropping
-taking risks
-irritable behavior
Depression Risks in adults: - CORRECT ANSWER--stressful life events
-presence of medical illness
-being a female in the post-partum period
-poor social support network
-comorbid substance use disorder
-being unmarried
(depression may be primary disorder or it may be response to another physical or
mental health disorder)
Subjective Data for depression: - CORRECT ANSWER--Anergia (lack of energy)
-Anhedonia ( lack of interest in activities)
-anxiety
-feelings of slugishness
-vegetative feelings, include change in eating patterns (anorexia, increased in
dysthymia, PMDD), change in bowel habits, change in sex drive
-somatic (no underlying cause) reports: fatigue, GI changes, pain
Objective data for depression (physical assessment findings): - CORRECT ANSWER--
Affect: pt appears sad and blunted
-poor grooming/lack of hygiene
-psychomotor retardation
-social isolation
-slowed speech, decreased verbalization, delayed response time
Clinical care for depression: - CORRECT ANSWER--suicidal assessment (top safety
priority)
- milleu therapy (able to do self care, able to perform activities, encourage to be as
independent as possible w/ access to hygiene materials)
-can relate therapeutically to client
-make observations instead of asking direct questions
(say, "I noticed..")
-communication simple and concrete
-give client time to respond to questions
-making sure clients environment is safe
-adminsitering meds (signs and symptoms)
Mood Disorders: 2 ends of spectrum - CORRECT ANSWER-depression (lowest)
hypomania (middle)
mania (highest above hypomania)
Mood Disorders: Mania - CORRECT ANSWER-over the top energetic (bipolar)
Mood Disorders: Depression may be comorbid with the following - CORRECT
ANSWER--anxiety disorders
-psychotic disorders (schizophrenia)
-substance use disorders: can have substance induced mood disorder
-eating disorders
-personality disorders
Mood Disorders: Clients w/ depression are at high risk for suicidality especially if the
client has: - CORRECT ANSWER-- family history of suicide attempts
-anxiety disorder
-panic attacks
-poor self esteem
-lack of social support
-chronic medical condition
Mood Disorders: MDD: single/recurrent depressive episodes clients w/ depression have
symptoms everyday for 2 WEEKS including: - CORRECT ANSWER--depressive mood
-insomnia/hypersomnia
-indecisiveness
-suicidal ideation
-suicide attempts
-increased or decreased motor activity (psychomotor retardation)
-inability to feel pleasure: anhedonia
-wt changes
Mood Disorders: Different types of depression: MDD with psychotic features -
CORRECT ANSWER-may experience auditory hallucinations and delusions
-
Mood Disorders: Different types of depression: MDD with Postpartum onset -
CORRECT ANSWER--begins 4 weeks after childbirth
-may include delusions
,-puts infant at high risk
Mood Disorders: Different types of depression: seasonal characteristics - CORRECT
ANSWER-SAD
-occurs during winter
-may be treated with light therapy
Mood Disorders: Different types of depression: Dysthymic Disorder - CORRECT
ANSWER-- milder form of depression w/ early onset
-begins in childhood or adolesence
-lasts at least 2 years in length for adults
- contains at least 3 clinical findings of depression
-may turn into MDD later on
Mood Disorders: Different types of depression: Premenstrual disorder - CORRECT
ANSWER-PMDD
-associated w/ leutal phase of menstrual cycle
-emotional lability + persistent or severe anger
Assessments for depression: 2 Major things to look for - CORRECT ANSWER--family
history
-previous personal history
-(understanding that in elderly patients, depression can look like dementia): like memory
loss, confusion, etc.
-
Assessments for depression: In children and adolescents - CORRECT ANSWER--this
age range can have comorbid conditions and may meet the criteria for more than 1
mental health disorder
Assessments for depression: Characteristics of good mental health in children -
CORRECT ANSWER--ability to interpret reality
-positive self concept
-ability to cope w/ stress and anxiety in age appropriate way
-mastery of developmental tasks
ability to express oneself spontaneously and creatively
-ability to develop and maintain satisfying relationships
Depression Manifestations in Children: - CORRECT ANSWER--feelings of sadness
-loss of appetite
, -nonspecific complaints related to health
-school performance dropping
-taking risks
-irritable behavior
Depression Risks in adults: - CORRECT ANSWER--stressful life events
-presence of medical illness
-being a female in the post-partum period
-poor social support network
-comorbid substance use disorder
-being unmarried
(depression may be primary disorder or it may be response to another physical or
mental health disorder)
Subjective Data for depression: - CORRECT ANSWER--Anergia (lack of energy)
-Anhedonia ( lack of interest in activities)
-anxiety
-feelings of slugishness
-vegetative feelings, include change in eating patterns (anorexia, increased in
dysthymia, PMDD), change in bowel habits, change in sex drive
-somatic (no underlying cause) reports: fatigue, GI changes, pain
Objective data for depression (physical assessment findings): - CORRECT ANSWER--
Affect: pt appears sad and blunted
-poor grooming/lack of hygiene
-psychomotor retardation
-social isolation
-slowed speech, decreased verbalization, delayed response time
Clinical care for depression: - CORRECT ANSWER--suicidal assessment (top safety
priority)
- milleu therapy (able to do self care, able to perform activities, encourage to be as
independent as possible w/ access to hygiene materials)
-can relate therapeutically to client
-make observations instead of asking direct questions
(say, "I noticed..")
-communication simple and concrete
-give client time to respond to questions
-making sure clients environment is safe
-adminsitering meds (signs and symptoms)
