Depressive Disorders & PTSD Flashcards
There are warning signs for depression that may be used to establish a method of early intervention and treatment. Determine which of the following situations closely aligns with the signs of depression in elderly people.
The need for independence and refusal to live with family members
Increase in alcohol consumption
Increased activity in older social clubs
Continued use of routine prescribed medications
Increase in alcohol consumption
An NP understands that screening for PTSD is focused on a screening tool from the DSM-5 called the PCL-5. Determine which question aligns the most with the questioning from this screening tool.
Do you like to laugh?
Are you sick often?
Do you have repeated disturbing dreams?
Do you have a job?
Do you have repeated disturbing dreams?
Depression in the elderly should not be ignored. Nurse practitioners often treat patients daily without recognizing depression. Determine which of the following statements is true about the prevalence of depression in the elderly population.
All nursing home residents have some form of depression.
Depression often goes undiagnosed in primary care.
When depression is diagnosed in the elderly, it is often overtreated, and patients are overmedicated.
Depression rates are lower than 50% for the elderly population.
Depression often goes undiagnosed in primary care.
A male patient may experience symptoms of depression that differ from females in presentation. Determine the symptom that an NP would understand that male patients may exhibit as a sign of depression.
Homicidal ideation
Suicidal Ideation
Violence
Aggression
Aggression
An NP studying depression in the elderly should understand its associated risk factors. Determine which is the correct patient and family education regarding the prevention of depression and its correlated risk factors.
Too much sleep is a risk factor for depression in the elderly.
Finances at this age are usually not a worry and thus not a risk factor for depression.
A patient with chronic pain should be treated to avoid possible depression.
Most elderly people would rather be alone due to decreased mobility and factors that can burden others.
A patient with chronic pain should be treated to avoid possible depression.
A 78-year-old male presents to the clinic for a well visit and refills on a list of medications. Determine the statement that demonstrates that the NP has an understanding of depression in this age-group.
Ensuring polypharmacy management is most important in this age-group.
Depression is normal in this age-group.
All geriatric patients should be screened for depression at each office visit.
All geriatric patients have depression, and coping should be discussed at every visit.
All geriatric patients should be screened for depression at each office visit.
Mrs. Simpson, an 80-year-old female, is from Puerto Vallarta and is visiting her family in the United States. She arrives to the clinic with her daughter-in-law for refills of her blood pressure medication and reports of increasing sadness. Her vital signs are normal: BP 120/68, HR 66, O2 98% RA, her weight is 150 lbs, and her height is 5’4”. At the visit, she seems withdrawn, and her daughter answers most of the questions for her. What statement is true regarding this patient case scenario?
Having the clinic provide a translator would be expensive, so it would be best to work with the daughter-in-law.
Mrs. Simpson should be treated for depression with a low-dose SSRI, and she should be advised to return in 4 weeks.
Mrs. Simpson may have a language barrier that is preventing her from communicating her depression.
Allow the daughter-in-law to communicate for the patient because she must be bilingual.
Mrs. Simpson may have a language barrier that is preventing her from communicating her depression.
Identify the correct type of depression and its correlating description.
Minor depression is not officially diagnosed or classified based on the DSM-5 criteria. Largest group affected is geriatric patients, and there is a higher risk of it going undiagnosed and affecting health outcomes and self-care. There is also a risk for major depression.
Vascular depression can affect a patient’s thoughts, behaviors, and moods. This can be treated with antidepressants. If this is not treated properly, it could develop into dementia-type behavior
Minor depression involves psychotic tendencies (delusional or hallucination tendencies).
Major depression is not officially diagnosed or classified based on the DSM-5 criteria. The largest group affected is geriatric patients.
Minor depression is not officially diagnosed or classified based on the DSM-5 criteria. Largest group affected is geriatric patients, and there is a higher risk of it going undiagnosed and affecting health outcomes and self-care. There is also a risk for major depression.
An NP student is seeing a female patient today who arrives to the clinic with reports of fatigue. She attends clinic at least thrice a week. The patient has vague symptoms again today. She does not require intervention on most visits and occasionally receives medication refills on her other visits. Today, her vital signs are stable, and her lab results are normal. What are the next steps for treating this patient?
After a normal review of her HPI, ROS, and exam, call her family, and inquire for a complete history.
After a normal review of her HPI, ROS, and exam, send her home.
Ask her why she keeps coming in with no real symptoms or reasons.
Admit her for observation in the psychiatric ward, where she can have a more intense psychiatric evaluation.
After a normal review of her HPI, ROS, and exam, call her family, and inquire for a complete history.
Identify the screening instrument for late-life depression that can be used in outpatient care.
Patient Depression Scale
Geriatric Depression Scale
Five-question screening tool
Elderly Depression Tool
Geriatric Depression Scale
A family nurse practitioner recognizes that treating depression in a geriatric patient means understanding its potential causes. Which patient situation aligns with a possible need for depression screening for a geriatric patient?
A 70-year-old female has decided to seek counseling for life changes.
A 78-year-old male sells all of his belongings to travel with a geriatric group.
A 72-year-old male tycoon decides to remarry without his family being present.
A 68-year-old malehaslost his wife of 50 years 8 months ago and now refuses to bathe, and his son is moving in to care for him.
A 68-year-old malehaslost his wife of 50 years 8 months ago and now refuses to bathe, and his son is moving in to care for him.
An NP understands suicidal ideation and its prevalence in the elderly population when he or she shares which of the following statements with his or her preceptor?
African-American men over the age of 85 have the highest rate of suicide.
The elderly often have more suicide attempts than younger patients do.
Elderly patients attempt suicide less often than younger patients do.
Asian and Hispanic men over the age of 85 have the highest rate of suicide.
Elderly patients attempt suicide less often than younger patients do.
The NP demonstrates a solid understanding of the patient treatment for PTSD when he or she shares which of the following statements with a patient?
Psychotherapy alone is the best treatment option for PTSD.
You will benefit the most from a combination of counseling and an SSRI-based treatment for your depression.
Fluoxetine is not the correct treatment for PTSD, even when it is combined with counseling.
Talking to your family and facing these issues is the best treatment.
You will benefit the most from a combination of counseling and an SSRI-based treatment for your depression.
A male patient may experience symptoms of depression that differ from females in presentation. Determine the symptom that an NP would understand that male patients may exhibit as a sign of depression.
Homicidal ideation
Withdrawal
Violence
Narcissistic behavior
Withdrawal
12
Question 12
Identify the screening instrument for late-life depression that can be used in outpatient care.
Five-question screening tool
New York Scale for Depression in Dementia
Patient Depression Scale
Two-question screening tool
Two-question screening tool
