NUR3524 Exam 1 Questions With Complete Solutions
What are the appropriate responses to suicidal statements?
The crisis is temporary
Unbearable pain can be survived
Help is available
You are not alone
How can we show empathy, what does that look like in suicide?
Active listening, Silence, Rephrasing, restating, offering self
Basically forms of therapeutic communication
How are suicide attempts impacted for patients that start
antidepressants?
Interventions after the crisis period can involve prescribing anti-
anxiety or antidepressant medications (Only a 1-day to 3-day
supply of meds should be given)
But know that antidepressants have the ADR of suicidal ideation
in early treatment phase so closely monitor and come with a
black box warning, have a long-term reduction in symptoms of
depression
What are the intended effects and side effects for
antidepressants?
Intended effects: decrease depression, enhance concentration,
improve mood, reduce anxiety, better sleep, increased energy
,Side effects: weight gain, suicidal ideation, dry mouth, blurred
vision, dizzy, ED, HA, GI issues, diaphoresis
MAOI antidepressants?
MOA?
Ex?
ADR?
Pt. teaching?
MOA: increase concentration of
monoamines(NE/E/dopamine/serotonin) by inhibiting action of
MAO
Ex: Nardil, Parnate, EMSAM
ADR: Hypertensive crisis if ingesting tyramine
Pt Teaching: Stop tyramine ingestion 2 weeks after stopping
MAOIS
Anti-depressant TCAS?
MOA?
SE?
Ex?
MOA: Increase NE
Ex: Anticholinergic effects
SSRI Anti-depressants?
MOA?
SE?
Ex?
, MOA: increase serotonin
SE: fewer anticholinergic effects, N/V
Ex: Praxil, Zoloft
Serotonin effect on anxiety and depression?
Decrease= depression
increase= anxiety
Dopamine effect on anxiety and depression?
Decrease= depression
NE effect on anxiety and depression?
Decrease= depression
Increase= anxiety
Histamine effect on anxiety and depression?
Increase= anxiety and depression
GABA effect on depression and anxiety?
Decrease: Anxiety
Increase: reduction of anxiety
Acetylcholine affect on depression?
Increase= depression
Substance P plays a role in?
mood, anxiety, pain management
Antipsychotic/ First-generation agents examples ?
Haloperidol, chlorpromazine, fluphenazine
All for the + symptoms of schizo (hallucinations, delusions)
What are the appropriate responses to suicidal statements?
The crisis is temporary
Unbearable pain can be survived
Help is available
You are not alone
How can we show empathy, what does that look like in suicide?
Active listening, Silence, Rephrasing, restating, offering self
Basically forms of therapeutic communication
How are suicide attempts impacted for patients that start
antidepressants?
Interventions after the crisis period can involve prescribing anti-
anxiety or antidepressant medications (Only a 1-day to 3-day
supply of meds should be given)
But know that antidepressants have the ADR of suicidal ideation
in early treatment phase so closely monitor and come with a
black box warning, have a long-term reduction in symptoms of
depression
What are the intended effects and side effects for
antidepressants?
Intended effects: decrease depression, enhance concentration,
improve mood, reduce anxiety, better sleep, increased energy
,Side effects: weight gain, suicidal ideation, dry mouth, blurred
vision, dizzy, ED, HA, GI issues, diaphoresis
MAOI antidepressants?
MOA?
Ex?
ADR?
Pt. teaching?
MOA: increase concentration of
monoamines(NE/E/dopamine/serotonin) by inhibiting action of
MAO
Ex: Nardil, Parnate, EMSAM
ADR: Hypertensive crisis if ingesting tyramine
Pt Teaching: Stop tyramine ingestion 2 weeks after stopping
MAOIS
Anti-depressant TCAS?
MOA?
SE?
Ex?
MOA: Increase NE
Ex: Anticholinergic effects
SSRI Anti-depressants?
MOA?
SE?
Ex?
, MOA: increase serotonin
SE: fewer anticholinergic effects, N/V
Ex: Praxil, Zoloft
Serotonin effect on anxiety and depression?
Decrease= depression
increase= anxiety
Dopamine effect on anxiety and depression?
Decrease= depression
NE effect on anxiety and depression?
Decrease= depression
Increase= anxiety
Histamine effect on anxiety and depression?
Increase= anxiety and depression
GABA effect on depression and anxiety?
Decrease: Anxiety
Increase: reduction of anxiety
Acetylcholine affect on depression?
Increase= depression
Substance P plays a role in?
mood, anxiety, pain management
Antipsychotic/ First-generation agents examples ?
Haloperidol, chlorpromazine, fluphenazine
All for the + symptoms of schizo (hallucinations, delusions)
