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J2 - Mental Health > Exam 2- Depression > Flashcards

Exam 2- Depression Flashcards

1
Q

Are there numerous standardized depression-screening tools to use in the assessment of suicidal patients?

A

Yes

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2
Q

Is the Beck Depression Inventory a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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3
Q

Is The Hamilton Depression Scale a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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4
Q

Is the Geriatric Depression Scale a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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5
Q

Is the PHQ-9 a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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6
Q

What things do you assess to help determine if a patient is suicidal?

A
  • Affect
  • Thought Process
  • Mood
  • Feelings
  • Cognitive Changes
  • Physical Behavior
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7
Q

Are there pharmacological and somatic interventions that can be used with suicidal patients?

A

Yes

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8
Q

Is ECT therapy (electroconvulsive) a somatic intervention that can be used as an intervention in suicidal patients?

A

Yes

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9
Q

What things help with the prevention of suicide in patient’s?

A
  • Support
  • Information
  • Education
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10
Q

Is treatment necessary as an intervention with suicidal patients?

A

Yes

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11
Q

Support provided to family/friends of a person who committed suicide successfully is called what?

A

Postvention

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12
Q

Is a safety plan a necessary intervention to have with suicidal patient’s?

A

Yes (make a plan on how to keep individual safe and free of harm incase suicidal ideation occurs)

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13
Q

Is health teaching and promotion a necessary intervention with suicidal patients?

A

Yes

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14
Q

Can case management be utilized as an intervention with suicidal patients?

A

Yes

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15
Q

Is Milieu therapy a intervention with suicidal patients?

A

Yes

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16
Q

What is psychotherapy in which the patient social environment is controlled or manipulated with a view to preventing self-destructive behavior called?

A

Milieu therapy

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17
Q

Is the documentation of care a necessary intervention with suicidal patients?

A

Yes

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18
Q

Is being the patients advocate a nursing responsibility with ECT therapy?

A

Yes

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19
Q

Is ensuring the patients safety, dignity, and respect throughout the procedure a nursing responsibility with ECT therapy?

A

Yes

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20
Q

What procedure uses general anesthesia to deliver electric stimulation to the brain and produce a seizure?

A

ECT therapy

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21
Q

Since ECT therapy uses general anesthesia, is it a nursing responsibility to monitor such things as vitals, labs, etc. in relation to the patient receiving the therapy?

A

Yes

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22
Q

Is it a nursing responsibility to ensure the clinic is ready prior to starting ECT therapy?

A

Yes

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23
Q

Beck believed that depression prone individuals develop what?

A

A negative self-schema

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24
Q

Beck believed that individuals with depression possess beliefs and expectation about themselves that are essentially what?

A

Negative and pessimistic

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25
Q

According to Beck when may negative schemas be acquired and from what?

A

In childhood as a result of a negative event

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26
Q

The cognitive triad was developed by who?

A

Beck

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27
Q

What does the cognitive triad imply?

A
  • Negative views about self cause negative views about the world causing negative views about the future.
  • This keeps moving in a circle
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28
Q

What are categories of antidepressants?

A
  • SSRIs
  • SNRIs
  • SARIs
  • NDRI
  • NaSS
  • TCAs
  • MAOIs
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29
Q

What does SSRI stand for?

A

Selective serotonin re-uptake inhibitors

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30
Q

What does SNRI stand for?

A

Serotonin norepinephrine re-uptake inhibitors

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31
Q

What does SARIs stand for?

A

Serotonin antagonists and re-uptake inhibitors

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32
Q

What does NDRI stand for?

A

Norepinephrine dopamine re-uptake inhibitors

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33
Q

What does NaSSA stand for?

A

Noradrenergic and specific serotonergic antidepressant

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34
Q

What does TCAs stand for?

A

Trycyclic antidepressants

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35
Q

What does MAOI stand for?

A

Monoamine oxidase inhibitors

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36
Q

What are indications for antidepressants?

A
  • Poor self-concept
  • Social withdrawal
  • Vegetative signs of depression
  • Activity level
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37
Q

Is sleep disturbance a symptom that antidepressants are used to target?

A

Yes

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38
Q

Is a appetite disturbance (increased or decreased) a symptom that antidepressants are used to target?

A

Yes

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39
Q

Is fatigue a symptom that antidepressants are used to target?

A

Yes

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40
Q

Is a decreased sex drive a symptom that antidepressants are used to target?

A

Yes

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41
Q

Is psychomotor retardation or agitation a symptom that antidepressants are used to target?

A

Yes

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42
Q

Is diurnal variations in mood (often worse in the morning) a symptom that antidepressants are used to target?

A

Yes

43
Q

Is impaired concentration a symptom that antidepressants are used to target?

A

Yes

44
Q

Is Anhedonia (inability to feel happy) a symptom that antidepressants are used to target?

A

Yes

45
Q

Would hypersensitivity be a contraindication to taking antidepressants?

A

Yes

46
Q

Should antidepressants be use in pregnancy or lactation ?

A

No

47
Q

Should antidepressants be used in narrow angle glaucoma?

A

No

48
Q

Should antidepressants be used immediately after an MI?

A

No

49
Q

Can antidepressants precipitate a psychotic episode in a person with schizophrenia?

A

Yes

50
Q

Can antidepressants precipitate a manic episode in a patient with bipolar disorder?

A

Yes

51
Q

Do patients with bipolar disorder often receive a mood-stabilizing drug in addition when taking antidepressants?

A

Yes

52
Q

Is choosing the right antidepressant for the individual a priority?

A

Yes

53
Q

How do you determine the right antidepressant for a patient?

A
  • Symptom profile
  • Side effect profile
  • Hx of past response to med
  • Safety and medical consideration
  • Genotyping (when available)
54
Q

Should antidepressants be used carefully in older patients?

A

Yes

55
Q

Should antidepressants be used carefully in those with pre-existing cardiovascular disease?

A

Yes

56
Q

When doing teaching, how long can a patient expect their antidepressants to start working?

A

1-3 weeks

57
Q

What is the goal of antidepressant therapy?

A

Complete remission of symptoms

58
Q

What should we teach a patent in regards to aggressive treatment when taking antidepressants?

A

It helps to find proper treatment

59
Q

When teaching, how long is an adequate trial for treatment of depression?

A

3 months

60
Q

Should we teach patients to avoid alcohol and other CNS depressants when taking antidepressants?

A

Yes

61
Q

When taking MAOIs patients should avoid what? to prevent the development of hypertensive crisis

A
  • OTC

- *Tyramine containing foods

62
Q

When teaching, we should tell patents to monitor for adverse reactions and if they occur to do what?

A

Notify Dr

63
Q

When teaching, what should we teach patients to do in addition to taking antidepressants?

A

Psychotherapy and progress visits

64
Q

What are the major depressive disorder categories?

A
  • Major depressive disorder
  • Persistent depressive disorder
  • Premenstrual dysphoric disorder
  • Substance/medication-induced depressive disorder
  • Depressive disorder due to another medical condition
65
Q

Is major depressive disorder common?

A

Yes

66
Q

What is major depressive disorders also known as?

A

Major depression

67
Q

What disorders is characterized by a persistently depressed mood lasting for a minimum of 2 weeks?

A

Major depressive disorder

68
Q

In major depressive disorder, what is the length of time that depressive episodes last?

A

5-6 months

69
Q

Can some cases of major depressive disorder become chronic?

A

Yes

70
Q

Do most people with major depressive disorder experience recurrent episodes?

A

Yes

71
Q

What is persistent depressive disorder formerly known as?

A

Dysthymia

72
Q

What disorder is diagnosed when feelings of depression occur most of the day, for the majority of the days?

A

Persistent depressive disorder

73
Q

How long do low level depressive feelings in adults with persistent depressive disorder last?

A

At least 2 years

74
Q

How long do low level depressive feelings in children/adolescents with persistent depressive disorder last?

A

1 year

75
Q

In addition to depressed mood, individuals with persistent depressive disorder will have at least two of what other symptoms?

A
  • Decreased appetite or over eating
  • Insomnia or hypersomnia
  • low energy
  • poor self-esteem
  • difficulty thinking
  • hopelessness
76
Q

Symptoms of persistent depressive disorder bring social and occupational distress but are not usually severe enough for what?

A

Hospitalization

77
Q

When is the onset of persistent depressive disorder usually seen?

A

Teenage years

78
Q

Is it uncommon to have full-blown major depressive episodes in individuals with persistent depressive disorder?

A

No

79
Q

Is persistent depressive disorder a chronic illness?

A

Yes

80
Q

What treatment is seen/effective in patients with persistent depressive disorders?

A
  • Psychotherapy
  • SSRIs
  • SNRIs
  • TCAs
81
Q

What type of psychotherapy is particularly helpful in individuals with persistent depressive disorder?

A

CBT therapy

82
Q

What does CBT therapy stand for?

A

Cognitive Behavioral therapy

83
Q

What is a type of talk therapy which helps you become aware of inaccurate or negative thinking so you can view challenging situations more clearly and respond to them in a more effective way?

A

CBT therapy

84
Q

Is premenstrual dysphoric disorder relatively new to the diagnostic system?

A

Yes

85
Q

What disorder refers to a cluster of symptoms that occur in the last week before the onset of a woman’s period?

A

Premenstrual dysphoric disorder

86
Q

Does premenstrual dysphoric disorder cause problems severe enough to interfere with the ability to work or interact with others?

A

Yes

87
Q

What symptoms are seen in premenstrual dysphoric disorder?

A
  • Mood swings
  • Irritability
  • Depression
  • Anxiety
  • Feeling overwhelmed
  • Difficulty concentrating
88
Q

When do symptoms of premenstrual dysphoric disorder decrease or disappear?

A

with onset of menstruation

89
Q

Do symptoms of premenstrual dysphoric disorder disappear after menopause?

A

Yes

90
Q

Can symptoms of premenstrual dysphoric disorder reappear with hormone therapy?

A

Yes

91
Q

What does treatment of premenstrual dysphoric disorder include?

A
  • Regular exercise

- Particularly aerobic

92
Q

Is eating foods rich in complex carbs and getting enough sleep recommended to help with premenstrual dysphoric disorder?

A

Yes

93
Q

Do birth controls and SSRIs help to treat premenstrual dysphoric disorder?

A

Yes

94
Q

Are diuretics sometimes used to help with symptoms of bloating in premenstrual dysphoric disorder?

A

Yes

95
Q

What is the name of a major depressive disorder that is caused as a result of prolonged use or withdrawal from drugs and alcohol?

A

Substance/medication-induced depressive disorder

96
Q

With which disorder do the depressive symptoms last longer than the expected length of physiological effects, intoxication, or withdrawal of substances?

A

Substance/medication-induced depressive disorder

97
Q

Would a person experience depressive symptoms int he absence of drug or alcohol use, or withdrawal in substance/medication-induced depressive disorder?

A

No

98
Q

When do symptoms of substance/medication-induced depressive disorder appear?

A

within 1 month of use

99
Q

Once the substance/medication is removed when will symptoms of substance/medication-induced depressive disorder subside?

A

within a few days to several weeks

100
Q

What medications are associated with the effects of substance/medication-induced depressive disorder?

A
  • Antivirals
  • Cardiovascular meds
  • Retinoic acid derivatives
  • Antidepressants
  • Anticonvulsants
  • Antimigraine agents
  • Antipsychotics
  • Hormonal agents
  • Smoking cessation agents
  • Immunological agents
101
Q

What disorder may be caused by disorders that affect the body’s systems or from long-term illnesses that cause ongoing pain?

A

Depressive disorder due to another medical condition

102
Q

In what disorder are symptoms the same as diagnostic criteria for depressive disorders?

A

Depressive disorder due to another medical condition

103
Q

With what depressive disorder is it necessary to rule out meds as causative agents first?

A

Depressive disorder due to another medical condition

104
Q

What medical conditions are associated with depressive disorder due to another medical condition?

A
  • Infectious or inflammatory
  • Cardiac disorders
  • Endocrine
  • Inflammatory disorders
  • Neoplastic disorders

J2 - Mental Health (15 decks)

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