Depressive Disorders & Suicide

Question 0

Depressive Disorders

-Risk Factors

Answer 0

1. Higher in women than men
2. Prior episode of depression
3. Fam hx
4. Stress
5. Current substance abuse
6. Med illness
7. Few social supports

Question 1

Depressive Disorders

-Statistics

Answer 1

1. Affects 14.8 million over 18 yrs per year (6.7% of population)
2. Develop at any age w/ average onset of 32 years
3. More prevalent in women

Question 2

Depression

-Risk Factors

Answer 2

1. Age of 15-40
2. Female
3. Chronic illness
4. Substance Use (Smoking, drinking)

Question 3

Dysthymia

Answer 3

1. Chronic, mild depression

- Affects approximately 1.5% of the US population

Question 4

Major Depressive Disorder (Unipolar Disorder)

Answer 4

1. Severe depression lasting longer than 2 weeks

Question 5

Dysthymic Disorder

Answer 5

1. Mild depression lasting more days than not over a 2 year time frame
2. Fewer psychologic symptoms
   (disturbed sleep, altered appetite, and weight loss or gain)

Question 6

Postpartum Depression

Answer 6

1. 10-15% of pregnant women

2. 2X higher in TEEN MOTHERS

Question 7

Situational Depression

Answer 7

1. Dramatic life changes (adjustment disorder)

Question 8

Depressive Disorders

-Psychodynamic Theories

Answer 8

1. Clients w/ depression have unexpressed and unconscious anger about feeling helpless or dependent on others
2. Client cannot express anger towards cause so it turns inward
3. Anger begins in childhood when basic developmental needs are not met

Question 9

Depressive Disorders

-Common Symptoms

Answer 9

1. Disturbance in daily pattern (sleep appetite, weight, libido)
2. Disturbance in Cognition (attention, memory, thinking)
3. Impulse control (suicide, homicide)
4. Behavior (withdrawal, lack of pleasure, fatigability)
5. Physical symptoms (headache, stomachage, muscle tension)

Question 10

Dysthymia

-Symptoms

Answer 10

1. Poor appetite or overeating
2. Insomnia or excessive sleep
3. Low energy
4. Fatigue and Low self-esteem
5. Poor concentration

Question 11

Factors Increasing Risk for Suicide

Answer 11

1. Expression of current thoughts; plans about suicide
2. Active mental illness
3. Substance abuse
4. Past hx of suicidal attempts
5. Formulation of a plan
6. Availability of means
7. Disruption of important personal relationship

Question 12

Mood Disorders

-Nursing Dx

Answer 12

1. Risk for Suicide
2. Risk for violence towards others
3. Ineffective health maintenence
4. Impaired social interaction
5. Disturbed thought processes

Question 13

Indicators of Effective Interventions

Answer 13

1. Client reports fewer or no suicidal thoughts
2. Client refrains from self-harm or aggression
3. Client independently manages self care
4. Client expresses positive sense of self-worth
5. Client adheres to

Question 14

Depressive Disorders

-Nursing Assessment

Answer 14

1. Involves systematic, thorough consideration of the clients safety, mental status, and psychological functioning
2. Careful review of physiologic and psychomotor activity
3. Behavior and social activity

Question 15

Mood disorders

-Nursing Outcomes for Clients

Answer 15

1. Suicide self-restraint
2. Aggression self-control
3. Social interaction skills
4. Distorted thought self-control
5. Will to live

Question 16

Mood Disorders

-Pharmacology

Answer 16

1. Antidepressants - SSRI (Prozac, paxil, zoloft)
2. Tricyclic (Elavil)
3. MAOI (Nardil)
4. Other (Wellbutrin)