Depression

Question 1

Depression

Answer 1

Alteration in mood
(Sadness, despair, pessimism)

Question 2

Persistent Depressive Disorder

Answer 2

Low-level
(most of the day/majority for two years)

appetite/sleep changes
low energy/self-esteem

Question 3

Premenstrual Dysphoric Disorder

Answer 3

Last week prior to period
Improve at onset

MOOD SWINGS

Question 4

Major Depressive Disorder

Answer 4

ADL impairment

Depressed most of the day nearly every day
Anhedonia

SI thoughts

Question 5

Depression -
Biochemical risk factors

Answer 5

Norepi/Serotonin deficiency

Question 6

Cognitive Theory (Depression)

Answer 6

cognitive > affective

Negative expectations of the
1) environment
2) self
3) future

Question 7

Depression -
Treatment
ECT

Answer 7

induction of grand mal seizure

anesthesia present

25sec-1min

Question 8

Depression -
Treatment
ECT
CI

Answer 8

Increased intracranial

MI/CVA, osteoporosis

Question 9

Depression -
Treatment
ECT
Pre-op

Answer 9

NPO 6-8hr
Assessment
sodium bicarb

Question 10

Depression -
Treatment
ECT
Recovery

Answer 10

Monitor VS Q15
Orient client
Memory loss is temporary

Question 11

Depression -
Treatment
Vitamins

Answer 11

Omega -3
B /D vitamins
Folic acid
Mag
Zinc
SAM-e

Question 12

Depression -
Treatment
TMS

Answer 12

Transcranial magnetic stimulation

Like ECT w/o seizure activity

Question 13

Suicide -
Nursing intervention

Answer 13

Safety plan (contract for safety)
Safe environment
Obs

BIG 3 - SI, HI, hallucinations