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Psych Nursing > Exam 1 > Flashcards

Exam 1 Flashcards

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1
Q

what are the symptoms of depression or MDD

A

SIGECAPS

sleep, interest, guilt, energy, concentration, appetite, psychomotor, suicidal ideation

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2
Q

what is the epidemiology of depression

A 
leading cause of disability in the US
more prevalent in women
at risk if very young or very old
at risk if single or divorced
seasonality
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3
Q

describe MDD

A

major depressive disorder
symptoms present for two weeks
no history of manic behavior
symptoms are SIGECAPS

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4
Q

describe dysthymia

A

sad or in the dumps

chronically depressed mood (for at least 2 yrs)

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5
Q

what are the biological correlations with depression

A

hereditary may be involved
deficiency of norepinephrine, serotonin, and dopamine
possible excessive cholinergic transmission
diminished release of thyroid stimulating hormone

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6
Q

what are the physiological correlations with depression

A 
medication side effects
neurological disorders
electrolyte disturbances
hormonal disorder
nutritional deficiencies
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7
Q

loss is internalized and becomes directed against the ego

A

psychoanalytical theory

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8
Q

learned helplessness

gives up due to numerous failures

A

learning theory

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9
Q

despair due to loss of significant other

A

object loss

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10
Q

primary depression disturbances are cognitive

A

cognitive theory

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11
Q

three factors of cognitive theory

A

negative expectations of environment
negative expectations of self
negative expectations of future
(think ANT)

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12
Q

what is ANT

A

automatic negative thinking

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13
Q

describe childhood depression

A

precipitated by a loss

therapy focus is to alleviate symptoms and strengthen coping skills

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14
Q

describe adolescence depression

A

visible manifestation of behavioral change that lasts several weeks
precipitant to suicide is abandonment

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15
Q

what is important to keep in mind about antidepressants

A

they have an increased risk of suicidal ideation

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16
Q

what antidepressants are commonly given to children/adolescents

A

Prozac and Lexipro

17
Q

what is senescence

A

depression in elderly
bereavement overload
increased risk of suicide
antidepressant, electroconvulsive, psychosocial therapy

18
Q

describe the symptoms of post partum depression

A

fatigue, irritability, decreased appetite, sleep disturbance

19
Q

what are the different degrees of post partum depression

A

blues: (50-85%) in the 1st 2 weeks
depression: (13%) in 1st year
psychosis: (.01%) in 1st 3 mos

20
Q

what are the stages of the depression continuum

A

transient, mild, moderate, severe

21
Q

describe transient depression

A

symptoms not necessarily dysfunctional
in the blues
feeling tired and listless

22
Q

describe mild depression

A

identified as those associated with normal grieving

anger, anxiety, tearful, regression

23
Q

describe moderate depression

A

associated with dysthmic disorder

helplessness, powerless

24
Q

describe severe depression

A

MDD and bipolar depression

flat affect, no communication, delusions, suicidal ideation

25
Q

nursing diagnosis r/t depressed mood, worthlessness, anger, misinterpretation of reality

A

risk for suicide

26
Q

nursing diagnosis r/t perceived loss, bereavement overload

A

complicated grieving

27
Q

nursing diagnosis r/t learned helplessness, feeling abandoned

A

low self esteem

28
Q

nursing diagnosis r/t complicated grieving and helplessness

A

powerlessness

29
Q

nursing diagnosis r/t egocentric, fear of rejection

A

social isolation

30
Q

nursing diagnosis r/t withdrawl into self, ego, impaired cognition

A

disturbed thought process

31
Q

other nursing diagnoses r/t depression

A

imbalanced nutrition, insomnia, self care deficit

32
Q

thought to increase levels of biogenic amines

A

electroconvulsive therapy

33
Q

this causes mini seizures (shuffles around neurotransmitters)
NOT 1st line, used for SEVERE depression

A

electrovonvulsive therapy

34
Q

meds given with ECT

A

pretreatment, muscle relaxant, short acting anesthetic

35
Q

IMPORTANT nursing care following ECT

A

*airway management

watch airway/breathing as ECT causes relaxation of respiratory muscles

Psych Nursing (21 decks)

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