DEPRESSIVE DISORDERS

Question 1

A mood disorder that causes a persistent feeling of sadness and loss of interest

Answer 1

Depression

Question 2

Painful feelings come in waves

Answer 2

Grief

Question 2

Natural response to a loss

Answer 2

Grief

Question 2

Self-esteem is maintained

Answer 2

Grief

Question 2

Dysregulation in serotonin (5HT), NE, Dopamine systems

Answer 2

Biogenic Amine Theory

Question 2

Weak ego and punitive superego

Answer 2

Psychoanalytic Theory

Question 3

Feelings of worthlessness and self-loathing

Answer 3

Depression

Question 3

Mood and interest are decreased

Answer 3

Depression

Question 3

Etiology of Depressive Disorders

Answer 3

-Genetic
- Biogenic Amine Theory
-Psychoanalytic Theory
- Object Loss Theory
-Learned Helplessness

Question 4

Abandonment or separation from a significant other during the first 6 months of life

Answer 4

Object Loss Theory

Question 5

At least 2 weeks of depressed mood or loss of interest

Answer 5

Major Depressive Disorder (MDD)

Question 6

Major Depressive Disorder has atleast 4 of the following

Answer 6

-Appetite and /or weight disturbance
- Sleep disturbance
- Psychomotor agitation or retardation
- Fatigue
- Feelings of worthlessness
- Recurrent suicidal thoughts

Question 7

Depressed mood for atleast 2 years

Answer 7

Persistent Depressive Disorder (Dysthymia)

Question 8

Manifestations of Persistent Depressive Disorder (Dysthymia)

Answer 8

-Appetite and/or weight disturbance
-Sleep disturbance
- Fatigue
- Feelings of worthlessness
- Feelings of hopelessness
- Poor concentration or difficulty making decision

Question 9

Milder form of depression

Answer 9

Persistent Depressive Disorder

Question 10

First Line treatment of depressive disorders

Answer 10

SSRI

Question 11

Second line treatment of depressive disorders

Answer 11

Atypical, Cyclic antidepressants

Question 12

Third line treatment of depressive disorders

Answer 12

MAOI

Question 12

Key nursing interventions of depressive disorders

Answer 12

-Explain to the patient the importance of continued intake of antidepressants even if it takes time to show the desired effects
-WOF suicidal tendencies especially when energy returns during antidepressant therapy

Question 13

Involves the delivery of an electrical impulse to the brain to cause a seizure

Answer 13

Electroconvulsive Therapy (ECT)

Question 14

Indications of ECT

Answer 14

-Unresponsive to antidepressants
- Patients who experience intolerable S/E at therapeutic doses
- Pregnant women
- Actively suicidal patients

Question 15

Pre-Procedure Care of ECT

Answer 15

-Facilitate signing of informed consent
- NPO post-midnight
- Remove nail polish
- Instruct to void before procedure
-Start IV line

Question 16

Pre-Procedure Medications of ECT

Answer 16

-Atropine
-Methohexital
-Succinylcholine

Question 17

To reduce secretions (anticholinergic)

Answer 17

Atropiine

Question 18

for immediate anesthesia (barbiturate)

Answer 18

Methohexital

Question 19

for neuromuscular blocking effect

Answer 19

Succinylcholine

Question 20

Side effects of ECT

Answer 20

-Mild confusion/brief disorientation
- Fatigue
- Headache
- Short-term memory loss

Question 21

Post-Procedure Care of ECT

Answer 21

-Mechanically ventilate with 100% oxygen until the patient can breathe unassisted.
-Monitor for respiratory problems.
-Reorient patient (to time, place, person) as he or she emerges from a groggy state.
-Administer benzodiazepines, as needed for agitation.

Question 22

Atypical

Answer 22

Pertains to teenager

Question 23

Melancholic

Answer 23

Happens to elderly and adults

Question 24

Negative aspect of melancholic

Answer 24

Despair