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NURS 1446 Psy A > Chapter 14: Depressive Disorders > Flashcards

Chapter 14: Depressive Disorders Flashcards

1
Q

Depression lasting minimum of ____ (length of time) is considered Major Depressive Disorder

A

2 weeks

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2
Q

Disruptive mood dysregulation disorder

Affects …

Describe….

Consider developmental level and r/o autism

A

Children 6 - 18

Frequent temper tantrums, persistent irritable mood

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3
Q

Persistent depressive disorder - Formerly: Dysthymic Disorder- Adults

How long does the depression last….

Causes social / Job distress but hospitalization is not needed.

A

2 years

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4
Q

When do PMDD physical discomfort start and stop

Affects 2.5 - 5.5 % women

A

1 week prior to menstruation- onset of period

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5
Q

When does Substance/ Medication Induced Depressive Disorder occur…

A

When using or withdrawl from drugs

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6
Q

What is the leading cause of disability worldwide

A

Depression

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7
Q

Can infants have depression?

A

Yes

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8
Q

Biological factora of Major Depression Disease

Hyper / Hypoactivity in HPA

A

Hyperactivity

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9
Q

Describe depression rates for women before puberty & after menopause

A

Lower

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10
Q

Psychological factors for depression:

Cognitive Theory: Thoughts result in emotions

Early life experiences contribute to negative, illogical, Irrational thoughts activated by times of stress.

Negative self deprecating view of self
Negative view of world
Negative reinforcement will continue in the future…..

Describes

A

Becks triad

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11
Q

PHQ-9 (Patient Health Questionnaire-9)
Purpose…..

A

Quick and effective for nurses to assess depression, essential for early intervention.

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12
Q

PHQ-9 (Patient Health Questionnaire-9)
Purpose…..

A

Quick and effective for nurses to assess depression, essential for early intervention.

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13
Q

Assess for suicide FIRST

____% of MDD will commit suicide

A

15

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14
Q

What questionire is used to screen for alcohol alcohol use?

A

C ut down?
A nnoy others with your drinking
G uilty about drinking
E ye opening event

1 positive = problems
2 positive = clinically significa

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15
Q

If CAGE has 2 or more positive (possibly 1 positive) then conduct this….

A

SBIRT

Screening (Reveal how bad drug addiction is)

Brief Intervention: Give them feedback of their Drug Problem & Encourage behavior change

Referral to treatment

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16
Q

Which feeling associated with depression is most concerning, why?

A

Hopelessness, correlated to suicide

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17
Q

Age considerations in depression.

Teenagers Sx

Older adults Sx

A

Teenagers anger & irritability

Older adults physical illness/ pain

18
Q

When does assessment for suicide need to happen.

A

Every contact

19
Q

Suicide ideation is criteria for involuntary hospitalization

T or F

A

T

20
Q

Risk for suicide include

Prior attempt
Emotionally close relative woth attempted for completed suicide
Male
Anxiety/ chronic pain
And this personality type….

A

Borderline

21
Q

What percentage of people who commit suicide have been seen by care provider within 1 month of the act

A

44%
Half of these have seen medical professionals within 1 week

22
Q

Open ended comminuted for Depression

BATHE

A

B othering What is bothering you?
A ffecting How is it affecting you?
T rouble What about the problem troubles you the most
H andling How are you handling the problem
E mpathy I can see how this would make you feel ____. I hear you telling me you feel ___ about this problem.

23
Q

Risk for suicide
Hopelessness
Impaired coping
Social isolation
Spiritual Distress
Self-care deficit
Chronic low self esteem

What is the mental problem

A

Depression

24
Q

Number for the suicide hotline

A

988

25
Q

Promote self care in depressed

Small high calorie food
OOB during day, encouraging groups
Relaxation, reduce stimulus at HS
Step by step ADL reminders

What does OOB mean

A

Out of bed.

Record this in mental health patients

26
Q

Safety

Suicide precautions for suicide idealation

GSP / ASP General/ Acute suicide precautions

Q15MIN checks, sharps with supervision, No OWP

What does OWP mean

A

Observation without Physical Contact.

Watching from across the room is an example

27
Q

Safety Plan

No harm contracts

I will contact my nurse before I act upon my suicide ideas

A

125,000$ Psych NP job.

Benefits & Vacations

28
Q

Serotonin syndrome- Fever Sx

To relieve use cooling blankets and thorazine

T or F

A

T

29
Q

TCAs

Which are Stimulating/ Sedative

Desipramine, Amitriptyline, Doxepin

A

Stimulate
Desipramine

Sedative
Amitriptyline / Doxepin

30
Q

Do urinary retention/ Constipation warrant immediate attention with TCAs

A

Yes

31
Q

How long for full effect of TCAs

A

4 - 8 wks

32
Q

Will Drowsiness, Dizziness, OH Orthostatic Hypotension go away in a few weeks after the start of tricyclic antidepressants

A

Yes

33
Q

Cephalgia means…

A

Headache

34
Q

Procardia / Regitine maybe taken for…

A

Hypertensive Crisis- MAOI

35
Q

ECT electroconvulsive therapy

2 - 3 treatments wkly. Total 6 - 12

Contradictions….

Nursing responsibilities

A

No absolute Contradictions
Assess cardiac conditions, subdural hemotomas, Brain tumors

Nurse responsibilities:
Informed consent
EEG & EKG monitor
General anesthetic & muscle paralyzing agent

36
Q

What does Electroconvulsive therapy consist of…

A

30 - 60 sec seizures induced by electrodes attached to head

37
Q

Primary focus for ECT

Awake in….

A

15 mins

Plus, airways / VS

38
Q

Transcranical magnetic stimulation (TMS)

Noninvasive: 30 mins 5 x weekly (For how long)……

Awake & Alert during procedure

Common complaint

A

4 - 6 week

Head & Jaw Pain

39
Q

Describe procedure for vagus nerve stimulation to improve depression….

A

Surgical Implantation wraps around vagus nerve on left side of neck

40
Q

Deep brain stimulation.

Surgical Implantats used to treat resistant major depression

T or F

A

T

41
Q

What type of depression might Light Therapy be used for…

A

SAD seasonal affective disorder

Morning is best time.

SE: headache, jittery

42
Q

Exercise may lower depression by decreasing the HPA axis, increase availability of serotonin, improves sleep.

Which group is it most helpful with

A

Menopausal women

NURS 1446 Psy A (19 decks)

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