Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mental Health > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

What is depression?

A

constantly in state of unhappiness

single episode or recurrent episodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is depression diagnosed?

A
  • 5 specific clinical findings
  • occurs everyday
  • minimum of 2 weeks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the two types of depression?

A

major depressive disorder
persistent depressive disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the symptoms of major depressive disorder?

A

SIG E CAPS

Suicidal thoughts
Interest lost
Guilt

Energy decreased

Concentration diminished
Appetite changes
Psychomotor retardation (slow mvmt)
Sleep disturbance (insomnia/hypersomnia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the symptoms of persistent depressive disorder?

A

PAILED

Pessimistic thinking
Able to function, but not optimal
Irritable
Low self-esteem
Eating excessively/not enough
Daytime fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How will a nurse assess a patient who has depression?

A

physical exam
recognize symptoms
depression scale
Hx of depression
support systems
cultural factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is the memory of someone with depression?

A

bad memory retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the suicide and homicide assessment?

A

ask:
- thoughts of harms?
- do you have a plan?
- can you carry it out?

homicide: thoughts to harm others?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What disorders can mimic depression?

A

vitamin D deficiency
hypothyroidism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the patient health questionnaire-9 (PHQ-9)?

A

screening tool to help refer pt somewhere else for further evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the acute phase of depression?

A

tx is 6-12 weeks

goal: reduction of symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the continuation phase of depression?

A

tx is 4-9 months

goal: prevent relapse w/ edu, meds, therapy, psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the maintenance phase of depression?

A

can last years

goal: prevent future episodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the outcome for someone with depression?

A

safety is priority
pt will:
- identify 3 coping mechanisms
- name 2 ppl of support
- gain 5 lbs
- sleep 6-8 hrs/night

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What will a nurse do during the implementation stage for someone with depression?

A
  • therapeutic silence
  • support pt
  • ensure adequate food, sleep, ADLs, elimination needs
  • family education
  • check pt often (suicide precaution)
  • med education
  • teach self-care strategies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are interdisciplinary treatments for depression?

A

milieu therapy
psychotherapy (CBT- 1st line of tx)
mindfulness-based cognitive therapy (type of CBT)
group therapy (pts support each other)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are alternative therapies for depression?

A

light therapy (seasonal depression)
St. John’s wort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are examples of brain stimulation therapies?

A

electroconvulsive therapy
vagus nerve stimulation
transcranial magnetic stimulation
deep brain stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is electroconvulsive therapy used for? Why?

A

major depressive disorder
schizophrenia
acute mania

last option if all RXs don’t work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Is a patient sedated during electroconvulsive therapy?

A

yes

21
Q

What is the side effect of electroconvulsive therapy? Who should not do it?

A

memory loss

dont: cardio problems or stroke

22
Q

Which brain stimulation therapy is the most invasive?

A

vagus nerve stimulation

23
Q

Which brain stimulation is safer than electroconvulsive therapy?

A

transcranial magnetic stimulation

24
Q

What is deep brain stimulation used for?

A

parkinson’s
chronic pain
depression
OCD

25
Q

What will a nurse do in the evaluation stage for a pt with depression?

A

absence of suicidal thoughts
improvement in appetite, bowel functioning, and sleep
ability to do ADLs

26
Q

What is the difference between anxiety and fear?

A

anxiety:
- source of threat is unknown
- feeling of apprehension

fear:
- reaction to a specific danger

27
Q

What are the three types of anxiety?

A

normal anxiety
acute anxiety
pathological anxiety

28
Q

What is normal anxiety?

A

motivation to complete tasks

29
Q

What is acute anxiety?

A

triggered by acute stressor

30
Q

What is pathological anxiety?

A

intense response that is dramatic, anxiety is still present even after threat

31
Q

What are the levels of anxiety?

A

mild
moderate
severe
panic

32
Q

Describe mild anxiety

A

perceptual field: sharp
ability to learn: good
physical characteristics:
- restlessness
- mild irritability
- finger biting

33
Q

Describe moderate anxiety

A

perceptual field: narrowed (selective attention)
ability to learn: altered, but possible
physical characteristics:
- pounding heart
- increased RR/HR
- somatic symptoms

34
Q

Describe severe anxiety

A

perceptual field: can’t see or hear much
- overly focused on superficial details
ability to learn: unable
- therapeutic communication won’t work
physical characteristics:
- automatic behavior
- severe somatic symptoms
- hyperventilation
- sense of dread

35
Q

Describe panic anxiety

A

psychotic form of anxiety

perceptual field: unable to process
ability to learn: unable
characteristics:
- erratic/impulsive
- hallucinations
- pass out
- dissociate
- freeze

36
Q

As anxiety goes up,

A

cognition goes down

37
Q

What are panic disorders?

A

panic attacks
anticipatory anxiety

38
Q

What are the characteristics of panic attacks?

A

recurrent and unexpected
lasts 1-30 minutes
no trigger
sudden onset of fear

39
Q

What are phobias?

A

persistent and irrational fear of a object, activity, or situation

40
Q

What is social anxiety disorder?

A

provoked by exposure to a social situation or performance situation

41
Q

What is agoraphobia?

A

fear of being in places or situation where:
- help might not be available
- escape might be difficult or embarrassing

42
Q

What is generalized anxiety disorder?

A

excessive anxiety and worry about a number of events

43
Q

What is obsessive compulsive disorder?

A

uncontrollable thoughts of ritualistic behaviors

44
Q

What are defense mechanisms?

A

used to reduce anxiety
protect from painful awareness
adaptive vs maladaptive

45
Q

What will the nurse do during the assessment process for anxiety?

A

check symptoms of anxiety
physical exam
assess for self-harm/suicide
psychosocial assessment
cultural beliefs

46
Q

What are the expected outcomes for anxiety?

A

demonstrate coping skills
demonstrate ability to perform tasks
desensitize self to feared objects
decrease time spent in ritualistic behaviors

47
Q

What will a nurse implement for someone with anxiety?

A

encourage them to be involved in care
therapeutic communication
supportive counseling
health education
milieu therapy
provide community resources

48
Q

What are interdisciplinary treatments for anxiety?

A

psychotherapy
acceptance and commitment therapy
meditation
mindfulness

49
Q

What is done during the evaluation process for anxiety?

A

decreased symptoms?
learn behaviors to manage anxiety?
can recognize symptoms?
self-care?

Mental Health (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions