Depression

Question 1

What is a key characteristic of depression?

Answer 1

Anhedonia: loss of enjoyment of previously enjoyable experience

Question 2

What is the final therapy used for depression?

Answer 2

Electroconvulsive therapy

Question 3

What is normal grief?

Answer 3

Loss or sadness for up to 3 years after a loss or great pain

Question 4

What type of grieving is not normal?

Answer 4

Grieving with suicidal ideation

Question 5

What are the three stages of grief?

Answer 5

Shock-numb: disbelief, reality stage: anger, hurt, recovery stage: plan for future, move on

Question 6

What are the abnormal types of grief?

Answer 6

Chronic grief, delayed grief, masked grief

Question 7

What are risk factors for depression?

Answer 7

Family history, recent negative stress, negative childhood environment, lack of social support, having significant physical disabilities

Question 8

What is ECT How does it work?

Answer 8

Electroconvulsive Therapy: use of electric induced seizure under anesthesia, 90% effective, side effect: memory loss

Question 9

Name some theories of depression, at least three

Answer 9

Freud: conflict between ego and superego, Bowlby: depression due to childhood loss and subsequent adult loss, Seligman: learned hopelessness, Beck’s cognitive theory: how person feels more important than cause, Psyobiological: disease of the brain at some level

Question 10

What intervention is priority after safety for depression?

Answer 10

Whatever the client says is important

Question 11

Which of the following short term goals would be given high priority for a client w depression admitted to the inpatient unit because of attempted suicide?

Answer 11

The client will seek out the nurse when feeling self-destructive

Question 12

dysthymia

Answer 12

a mild but long-term form of depression

Question 13

common nurse diagnosis for depression

Answer 13

Self care deficit and risk for injury

Question 14

Main goal of depression

Answer 14

Safety

Question 15

Interventions for depression

Answer 15

self care/ADLs, engagement, exercise, open ended questions

Question 16

Tricyclics

Answer 16

Easy to overdose, months to see effects, causes suicidal ideations.
SE: hypotension, sleepiness, anticholinergic

Question 17

Selective Serotonin Reuptake Inhibitor (SSRI)

Answer 17

Inhibits the reuptake of serotonin

SE: agitation, insomnia, weight changes, headache, nausea, diarrhea, concern for suicidal ideations

Question 18

Lack of energy

Answer 18

anergia

Question 19

Loss of enjoyment of previously enjoyable activities

Answer 19

anhedonia

Question 20

Sad facial features

Answer 20

melancholic

Question 21

Name the stages of grief

Answer 21

Stage of shock: disbelief, deny days to months
Reality stage: anger, guilt, frustration, realizes reality of loss
Recovery stage: plans for future, starts to move on

Question 22

chronic grief

Answer 22

never reaches a conclusion

Question 23

exaggerated grief

Answer 23

grief is overwhelming

Question 24

delayed grief

Answer 24

Working through grief is not accomplished at time of loss and remains with the person

Question 25

Masked grief

Answer 25

Masked by either physical symptoms or maladaptive behaviors

Question 26

Risk factors for depression

Answer 26

family history, recent negative stressors, childhood in negative home environment, no social support system, having significant physical disorders

Question 27

Risk factors for abnormal grief

Answer 27

Ambivalence (mixed or contradicting feelings) toward the person lost, unresolved emotional conflicts with relationship, history of maladaptive coping behaviors

Question 28

Normal grief

Answer 28

go through three stages of grief, but could take up to 3 years. No suicidal ideations

Question 29

what drugs cause depression?

Answer 29

interferons

Question 30

What is major nursing invention with post partum depression

Answer 30

Infant and mother safety. May have psychotic features resulting in infanticide

Question 31

What foods to avoid while on MAOIs?

Answer 31

aged cheese, smoked, dried, pickled, cured, or preserved meats and fish, caviar, fava beans, avocado, chianti, beer with yeast, chocolate and coffee: some risk

Question 32

What meds to avoid while on MAOIs?

Answer 32

Demerol, tricyclics, SSRI, amphetamines, OTCs, and diet meds

Question 33

What kinds of cheese can you have while on MAOIs?

Answer 33

cottage cheese and cream cheese

Question 34

Monoamine oxidase inhibitors (MAOI)

Answer 34

Blocks enzyme metabolism of thyamine

SE: many drug and food interactions, hypertensive

Question 35

What drugs aren’t helpful with depression?

Answer 35

Benzodiazepines