Depressive disorders

Question 1

Analyze the different etiological theories and contributing factors of depressive disorders.

Answer 1

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Question 2

Apply psychopharmacologic management principles to the treatment of depressive disorders.

Answer 2

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Question 3

Recognize Serotonin Syndrome and note specific nursing interventions.

Answer 3

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Question 4

Apply the nursing process to the care of persons with depressive disorders.

Answer 4

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Question 5

Assessment terms: Mood, Affect, Lability,
Anhedonia

Answer 5

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Question 6

Patient Symptoms/Reactions: Psychomotor
retardation or psychomotor agitation

Answer 6

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Question 7

Hypertensive crisis

Answer 7

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Question 8

What are the 5 SSRIs: selective serotonin
reuptake inhibitors

Answer 8

fluoxetine
• paroxetine
• sertraline
• citalopram
• escitalopram

Question 9

What are the 2 Serotonin noradrenergic reuptake
inhibitors (SNaRIs)

Answer 9

Serotonin noradrenergic reuptake
inhibitors (SNaRIs)
• venlafaxine
• duloxetine

Question 10

Tricyclic Antidepressants (TCA) 3 of them

Answer 10

• imipramine
• doxepin
• amitriptyline

Question 11

Monoamine Oxidase Inhibitors (MAOIs) 2 of them

Answer 11

• phenelzine (Nardil)
• tranylcypromine(Parnate)

Question 12

other meds

Answer 12

desvenlafazine (SNRI)
• trazodone
• buproprion (NDRI)
• mirtazapine (NaSSA)

Question 13

Identify the symptoms of Major Depressive Disorder

Answer 13

Five (or more) in 2-week period
Weight loss and appetite changes
Sleep disturbances
Fatigue
Psychomotor agitation or retardation
Worthlessness or guilt
Loss of ability to concentrate
Recurrent thoughts of death

PLUS at least one symptom is also either
Depressed mood or anhedonia

Chronic: Lasting more than 2 years
Recurrent episodes common
Symptoms cause distress or impaired function
Episode not attributed to physiological effects
Absence of a manic or hypomanic episode

Question 14

Identify the symptoms of Persistent Depressive Disorder (formerly called Dysthymia)

Answer 14

Low-level depressive feelings through most of each day,
for the majority of days
Symptoms for at least 2 years in adults
At least 1 year in children and adolescents
Must have two or more of the following:
Decreased appetite or overeating, insomnia or
hypersomnia, low energy, poor self-esteem, difficulty
thinking, and hopelessness

Question 15

Identify the symptoms of Disruptive Mood Dysregulation Disorder

Answer 15

kIDS UNDER 10 YEARS OLD
anger and constant, severe irritability
Display irritability, anger, and temper tantrums in at least 2 settings (home, school, and with peers)

Question 16

Identify the symptoms of Substance/Medication-Induced Depressive Disorder

Answer 16

Substance-induced depressive disorder
Person does not experience depressive symptoms in the absence of drug or
alcohol use or withdrawal
Depressive disorder associated with another medical condition
Can be caused by kidney failure, Parkinson’s disease, and Alzheimer’s
disease for example

Question 17

Identify the symptoms of Premenstrual Dysphoric Disorder

Answer 17

Mood swings, irritability, depression, anxiety, feeling
overwhelmed, and difficulty concentrating
Other physical manifestations include lack of energy, overeating, hypersomnia or insomnia, breast
tenderness, aching, bloating, and weight gain.