Depression

Question 1

the most common mental health disorder

Answer 1

anxiety

Question 2

older adults who are depressed are usually dx with

Answer 2

dementia and delirium

Question 3

the theory of depression

Answer 3

complex interaction with genetics, the environment and individuals biology

Question 4

the monomine deficiency hypothesis believes this

Answer 4

deficiency in serotonin and norepinephrine

Question 5

individuals with depression have an increase in

Answer 5

cortisol

Question 6

how do we determine cortisol over-production

Answer 6

dexamethasone suppression test (DST) - not used as a diagnosed tool

Question 7

is DST (dexamethasone suppression test) used as a dx tool

Answer 7

no - aids in assessment

Question 8

is there a dx test for depression

Answer 8

no, dx is based on structured clinical interview

Question 9

the stress diathesis model of depression

Answer 9

if you have a genetic predisposition than you have an assault from the environment your likely to develop the disease

Question 10

the most widely accepted explanation for mental illness and depression

Answer 10

stress diathesis model of depression

Question 11

learned helplessness is attributed to the loss of

Answer 11

control

Question 12

major depressive disorder is prevalent in this population

Answer 12

white - single - divorced

Question 13

the father of cognitive theory

Answer 13

aaron beck

Question 14

cognitive theory is based on

Answer 14

thoughts are related to feelings and behaviors

Question 15

3 positions of cognitive theory

Answer 15

negative view of themselves, the world and the future

Question 16

best treatment of mental illness/depression

Answer 16

psycho -therapy and meds (prefrontal lobe activity increases)

Question 17

to dx major depressive disorder you must present with

Answer 17

*must have 5 of the 9 criteria in DSM
*anhedonia (loss of interest) and depressed mood
symptoms persist for >2weeks that effect quality of life

Question 18

3 types of symptoms in major depressive disorder

Answer 18

mood (guilt)
cognitive effects (poor concentration, inattention)
physical (not sleeping/eating, weight loss)

Question 19

psychotic subtype of MDD present with

Answer 19

hallucinations (auditory) or delusions

Question 20

melancholic subtype of MDD present with

Answer 20

suicidal - everything is dark

Question 21

most severe subtype of MDD

Answer 21

melancholic

Question 22

atypical subtype of MDD present with

Answer 22

opposite the norm (gaining weight, sleeping too much)

Question 23

catatonic subtype of MDD present with

Answer 23

negativism, waxy flexibility

Question 24

postpartum subtype of MDD occurs within

Answer 24

4 weeks of childbirth

Question 25

seasonal affective disorder of MDD onset occurs

Answer 25

in the Fall and subsides in the spring

Question 26

ongoing low-grade depression that occurs over 2 yrs is classified as

Answer 26

persistent depressive disorder

Question 27

due to an over-diagnosis of bipolar disorder in children, this dx was developed for the new DSM

Answer 27

disruptive mood dysregulation

Question 28

disruptive mood dysregulation presents with

Answer 28

outbursts not in proportion to the situation (physical/verbal episodes)

Question 29

what are the 6 sub-types of MDD

Answer 29

``` Psychotic features Melancholic features Atypical features Catatonic features Postpartum onset Seasonal affective disorder ```

Question 30

when a clinician cannot determine whether a pt. has MDD or persistent depressive disorder they dx them with this

Answer 30

unspecified depressive disorder

Question 31

pt with depressive symptoms 14 days before menstrual onset is dx with

Answer 31

premenstrual dysphoric disorder

Question 32

dysthymia pt present like this

Answer 32

Eeyore - 2+yrs. of depressive symptoms - sleep/appetite disturbance - suicidal thoughts not r/t psychosis

Question 33

difference between dysthymia and MDD

Answer 33

dysthymia does not present with psychosis

Question 34

when does dysthymia usually occur

Answer 34

early childhood - teens - early adulthood

Question 35

mnemonic for assessing depression

Answer 35

SIGECAPS

Question 36

what does SIGECAPS stand for

Answer 36

``` sleep (increase/decreased) interest (diminished) guilt/low self-esteem energy (low) concentration (poor) appetite (increase/decrease) psycho-motor (agitation/retardation) suicidal ideation ```

Question 37

difference between depression and grief

Answer 37

depression is diagnosable grief is not

Question 38

with grief do symptoms resolve

Answer 38

yes -

Question 39

can you have grief and depression

Answer 39

yes - grief can trigger depression

Question 40

individuals with depression are always evaluated for risk of suicide, t or f

Answer 40

true

Question 41

Mrs. Chauncey, 80 years of age, complains of stomach pain and is now mute and staring out of her window. She is refusing food. Which of the following interventions are appropriate?

Answer 41

Speak with her, although she may not answer Continue to offer her food and fluids. Regularly assess vital signs and skin turgor.

Question 42

Mrs. Chauncey receives a visit from her priest. He runs out of her room and then pulls the nurse assistant back into her room. Mrs. Chauncey is cutting her left wrist (superficially) with the 5 x 7 glass from a framed photo of a grandchild. She is taken to the emergency department where her wrist is bandaged. Her daughter and son in law are notified. As her nurse, which of the following statements help clarify what has taken place?

Answer 42

“When your Mom’s priest arrived, he found her cutting her wrist with the glass from a framed photo.”

Question 43

A nurse is caring for a client diagnosed with dysthymia. Which of the following defining characteristics are associated with this disorder? Select all that apply.

Answer 43

Insomnia or hypersomnia Suicidal thoughts Appetite disturbance