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Study > Depression and Mania > Flashcards

Depression and Mania Flashcards

1
Q

What is depression?

A

Loss of interest in life activitites

Negative view of the world

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2
Q

Depression

Anhedonia

A

Loss of pleasure in usually pleasurable things

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3
Q

Depression

Usually r/t ?

A

Loss (death, job, mastectomy, self esteem [rape])

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4
Q

Depression

What does client look like?

A

Poor kept appearance

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5
Q

Depression

Weight

A

Gain in mild

Loss in severe

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6
Q

Depression

Crying

A

Crying spells with mild-mod

No tears with severe

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7
Q

Depression

Clients may be ___

A

Irritable

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8
Q

Depression

Do they have energy?

A

No

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9
Q

Depression

Do they need help with self care?

A

Yes

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10
Q

Depression

What do we need to do to help them?

A

Help them experience accomplishments

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11
Q

Depression

What do we need to be careful about?

A

With compliments, these may make client feel worse

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12
Q

Depression

Prevent what?

A

Isolation

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13
Q

Depression

What makes them feel better?

A

Interacting with others, even if they say they don’t want to

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14
Q

Depression

Severely depressed what is the best to do?

A

Sitting with client and making no demands may be the best thing that you can do

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15
Q

Depression

Can these people make simple decisions?

A

No

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16
Q

Depression

Assess

A

Suicide risk

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17
Q

Depression

As depression lifts, what is suicide risk?

A

Increases (more energy to do the task)

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18
Q

Depression

What indicates that client has made decision to kill themselves

A

Suden change in mood

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19
Q

Depression

Who are at risk for suicide?
Who are successful by using very lethal methods?

A

Elderly

Elderly men

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20
Q

Depression

Can they have delusions/hallucinations?

A

Yes

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21
Q

Depression

Are their thoughts slowed?

A

Yes (use silence to give them time to process information

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22
Q

Depression

Can they concentrate?

A

No

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23
Q

Depression

What disturbances are common

A

Sleep

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24
Q

Depression

Sleep for mild? sleep for severe?

A

Mild: hypersomnia

Severe: Insomnia

25
Q

Depression

Generally depressed clients have difficulty with what?

A

Falling asleep
Staying asleep
Early morning wakening

26
Q

Mania

Continuous ___

A

High

27
Q

Mania

Emotions

A

Labile

28
Q

Mania

Thoughts

A

Flight of ideas

29
Q

Mania

Delusions

A

False idea

30
Q

Mania

Example of delusions of grandeur

A

Think you are jesus

31
Q

Mania

Example of delusion of persecution

A

Client thinks someone is out to get them

32
Q

Mania

Do you argue the belief?

A

No

33
Q

Mania

Do you talk about the delusion?

A

No

34
Q

Mania

Let the client know what?

A

You accept that he/she needs the belief but you do not believe it

35
Q

Mania

Look for underlying need in delusion?

A

Persecution: Client needs to feel safe

Grandeur: Client needs to feel good about self/meet self-esteem needs

36
Q

Mania

Constant motor activity leads to ?

A

Exhaustion

37
Q

Mania

Dress

A

Inappropriate

38
Q

Mania

Eat

A

Cant stop to eat; altered sleep patterns

39
Q

Mania

$

A

Spending sprees

40
Q

Mania

Poor ___
No ____

A

Poor judgments

No inhibitions

41
Q

Mania

___ and may exploits other clients

A

Hypersexual

42
Q

Mania

Manipulates – fails – they get mad

What does manipulation make them feel?

A

Secure and powerful

43
Q

Mania

Set limits–staff must be ?

A

Consistent

44
Q

Mania

Decreased ____

A

Attention span

45
Q

Mania

Do they have hallucinations?

A

Yea they can

46
Q

Mania Treatment

Decrease what

A

Stimuli

47
Q

Mania Treatment

Limit what?

A

Group activities

48
Q

Mania Treatment

feel most secure in ?

A

One on one relationships

49
Q

Mania Treatment

Remove ?

A

Hazards

50
Q

Mania Treatment

Stay with client as what increases

A

Anxiety

51
Q

Mania Treatment

Scheduled

A

Structured

52
Q

Mania Treatment

Activity

A
  • Provide activity to replace purposeless activity

- Writing activities provide energy outlet without too much stimulation

53
Q

Mania Treatment

Staff contact

A

Brief, frequent contact with staff–too much intense conversation stimulates client

54
Q

Mania Treatment

Meals
Weight

A

Finger foods–*keep snacks available
Stay with client during meals

Weigh daily

55
Q

Mania Treatment

Don’t try to ?

A

Argue or reason

56
Q

Mania Treatment

T/F: they will try to charm you

A

T

57
Q

Mania Treatment

Blame who?

A

They blame everyone

58
Q

Mania Treatment

Make sure what is maintained?

A

Dignity (client may do things or say things that they wouldn’t normally do)

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