Chapter 16

Question 1

Symptoms at this level of depression are not necessarily dysfunctional. “The blues”, some crying, some difficulty getting mind off one’s disappointment, and feeling tired and listless

Answer 1

Transient Depression

Question 2

This type of depression is associated with normal grieving. Anger, anxiety, sadness, tearful, regression, preoccupied with loss; self-blame and blaming of others, anorexia or overeating, sleep disturbances, and somatic symptoms

Answer 2

Mild Depression

Question 3

This type of depression the pt is helpless, powerless, slowed physical movement, limited verbalization, retarded thinking processes, difficulty with concentration, anorexia or overeating, sleep disturbances, somatic symptoms, and feel better in the morning and worst as the day progresses

Answer 3

Moderate Depression

Question 4

This type of depression there is feelings of despair, worthlessness, flat affect, apathy, anhedonia, psychomotor retardation, prevalent delusional thinking, with delusions of persecution or somatic delusions; unable to concentrate; confusion, a general slow-down of the entire body, anorexia, insomnia, and feel worse in the morning and best as the day progresses

Answer 4

Severe Depression

Question 5

Highest risk for suicide:
Marital status: ________
Gender: _______
Age: _________

Answer 5

Single, divorced, or widowed; women attempt suicide more often but men succeed more than women; 50 years of age or older or adolescents

Question 6

Mood disorders ( _____ and ____ ) are the most common disorders that precede suicide

Answer 6

Major depression and bipolar disorders

Question 7

Long-term goal for a patient with suicidal thoughts is to _______ when suicidal thoughts occur

Answer 7

Seek assistance

Question 8

Side effects of ECT

Answer 8

Temporary memory loss and confusion

Question 9

Light therapy is associated with ______ secretions

Answer 9

Melatonin

Question 10

Antidepressants increase concentrations of _________, _______, and/or _______, either by blocking their reuptake by the neurons (TCAs, heterocyclines, SSRIs, SNRIs) or by inhibiting the release of monoamine oxidase (MAOIs)

Answer 10

norepinephrine, serotonin, and/or dopamine

Question 11

What drug has potentially fatal reactions with all other antidepressants?

Answer 11

MAOIs

Question 12

Depressed mood, impaired for at least 2 years, no history of manic behavior

Answer 12

Major Depressive Disorder

Question 13

Sad or “down in the dumps”, no evidence of psychotic symptoms, chronically depressed mood for most of the day, more days than not, and for at least 2 years

Answer 13

Dysthymic Disorder

Question 14

Depressive disorders are deficiency in _______, ______, and _______

Answer 14

norepinephrine, serotonin, and dopamine

Question 15

Nutritional deficiencies in depression are associated with vitamin ____.

Answer 15

Vitamin B

Question 16

Most common precipitant to adolescent suicide is ______.

Answer 16

Feelings of abandonment

Question 17

Depression associated with feeling best early in the morning and worse as the day progresses

Answer 17

Moderate Depression

Question 18

Depression associated with feeling worse early in the morning and better as the day goes on

Answer 18

Severe Depression

Question 19

When assessing a suicidal pt assess their: _____; ____; _____; ______; and ________

Answer 19

intent; plan; means; lethality of means; and previous attempts

Question 20

Therapy that focuses on changing negative thought distortions is ______.

Answer 20

Cognitive Therapy

Question 21

ECT is used to increase levels of ________.

Answer 21

Biogenic amines

Question 22

Drug class for Prozac

Answer 22

SSRI

Question 23

Drug class for Paxil

Answer 23

SSRI

Question 24

Drug class for Zoloft

Answer 24

SSRI

Question 25

Drug class for Zyban

Answer 25

Heterocyclics; Wellbutrin/Zyban are the same drug

Question 26

Drug class for Wellburtrin

Answer 26

Heterocyclics; Wellbutrin/Zyban are the same drug

Question 27

Drug class for Effexor

Answer 27

SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)

Question 28

Antidepressants increase concentrations of _________, ________, and/or _________ by either blocking their reuptake by the neurons or by inhibiting the release of monoamine oxidase

Answer 28

norepinephrine, serotonin, and/or dopamine

Question 29

______ effects of tricyclics with bupropion, cimetidine, haloperidol, SSRIs, and valporic acid

Answer 29

Increased

Question 30

______ effects of tricyclics with carbamazepine and barbiturates

Answer 30

Decreased

Question 31

Interactions with tricyclics: hyperyretic crisis, convulsions, and death can occur with ________

Answer 31

MAO Inhibitors

Question 32

Most common side effects that occur with ______ and _______ are blurred vision, constipation, urinary retention, orthostatic hypotension, reduction of seizure threshold, tachycardia, arrhythmias, photosensitivity, and weight gain

Answer 32

tricyclics and heterocyclics

Question 33

Most common side effects that occur with ______ and _____ are insomnia, agitation, headache, weight loss, sexual dysfunction

Answer 33

SSRIs and SNRIs - can cause serotonin syndrome

Question 34

Side effect that can occur with _____ is hypertensive crisis

Answer 34

MAOIs