Chapter 21

Question 1

the following flashcards are going to be on blackboard and study guide notes

Question 2

Depressive disorder are characterized by what?

Answer 2

persistent or recurring disturbances in mood that causes significant psychologic distress and functional impairment ( typified by feelings of sadness, hopelessness,loss of interest and fatigue )

Question 3

most people have bad days or times of feelings sad and overwhelmed

depressed feelings can interfere with daily actives and relationships

this mood can impair judgement and contribute to negative views of world

depression is a symptom of depressive disorders

Question 4

what does mood mean ?

what does affect mean ?

Answer 4

pervasive and sustained emotion that influences ones perception of the world and. how one functions
( what the patients tell you how they feel )

outward emotional expression provides clues to a persons mood
( how you think the patient feels by the way they are acting or looking )

Question 5

notes
depressive disorders include both major depressive disorder

persistent depressive disorder

prementsutral dysphoric disorder

disruptive mood dysregulation disorder

and other related ro medical conditions, medications or substance use

Question 6

what are some risk factors that can cause a patient to get or experience a depressive disorder?

Answer 6

family history
prior depressive episodes
lack of social support
stressful life events
substance use
medical problems
( chronic or terminal )

Question 7

what is a mnemonic that can help us remember what depression is characterized by ?

Answer 7

SIGE CAPS

Question 8

what does SIGE CAPS STAND FOR?

Answer 8

sleep disturbances

interest decreased in please activities/ sex (anhedonia)

guilty feelings

energy decreased

concentration decreased
appetitive increase/decrease
pshyomotor function decrease
suicidal idealizations

Question 9

notes
mental health nursing assessment includes

• mood
• speech patterns
• thought process and content
• suicidal or homicidal thoughts
• social factors, such as patterns of relationships,quality of support systems
• changes in occupational functioning

Question 10

depression symptoms are difference between children/adolscents and adults, in the sense that childern and adolescents present more as what?

Answer 10

irritable

Question 11

what is our biggest safety concern with these individuals with depression ?

Answer 11

suicide

Question 12

what Is the interesting fact about suicide and depression ?

Answer 12

patients risk for suicide when they are depressed is actually really low because they lack the energy to do it

however when they start to improve, it actually is when suicide risk will increase

Question 13

what are the medications we are going to use on these patients? (6)

Answer 13

SSRI
SNRI
NDRI
TCA
MAOI
herbal

Question 14

what are the 6 names for ssri medications ?

Answer 14

fluoxetine ( prozac )
citalopram ( celexa )
escitalopram ( lexapro )
sertraline ( Zoloft )
paroxetine ( Paxil )
fluvoxamine ( Luvox )

Question 15

we always want to start our medication how with ssri ?

Answer 15

start low and go slow

Question 16

what are your main concerns with patients who experience ssri Side effects?

Answer 16

gi upset
sexual side effects
headache
dry mouth

Question 17

what are the 2 serious side effects of ssri ?

Answer 17

serotonin syndrome
increased suicideal thoughts ( blackbox warning )

Question 18

what are your 3 snri medications ?

Answer 18

venlafaxine ( Effexor )
duloxetine ( cymbalata )
desvenlafaxine ( Pristiq )

Question 19

what is your ndri medication?

Answer 19

bupropion ( Wellbutrin )

Question 20

what is the 2 contraindications with NDRI?

Answer 20

eating disorders
seizures disorder

Question 21

for tca medications, just know we have two increase risk for ?

Answer 21

cardiac issues
suicide

Question 22

what are your 4 maoi medications?

Answer 22

phenelzine ( nardil )
tranylcypromie ( parnate )
isocarboxazid ( marplan )
selegiline ( emsam )

Question 23

what are the 3 multiple intradications or contraindications with MAOI?

Answer 23

tyramine
sympathomimetic agents
OTC cold medications

Question 24

what are some foods that contain tyramine ?

Answer 24

cheese
milk
chianti wine
preserved meats, avocados

Question 25

what are your two serious side effects of maoi?

Answer 25

hypertensive crisis
serpentine syndrome

Question 26

herbal medications
like st johns wort increases risk for serotonin syndrome

Question 27

in the powerpoint
there is a major depression chart

how long is this
and usually patients must have what?

Answer 27

2 weeks

must have depressed mood or loss of interest and 4 more symptoms

Question 28

what is persistent depressive disorder ?

how long

Answer 28

must have depressed mood and 2 more symptoms

2 years