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Nursing 120 > Exam 5 - Mood and Suicide > Flashcards

Exam 5 - Mood and Suicide Flashcards

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1
Q

An individuals sustained emotional tone which influences behavior, personality, and how they perceive the world

A

mood

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2
Q

the behavioral expression of mood

A

affect

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3
Q

what are the two categories of mood

A

bipolar

depression

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4
Q

when does depression become a illness?

A

when they are unable to adapt

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5
Q

what are the differences between grief and depression?

A

in grief, mood changes
in grief, they respond to warmth
in grief, they don’t lose connections

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6
Q

what are the 9 diagnostic signs of major depressive disorder?

A 
depressed mood
loss of interest and pleasure
significant weight loss of gain
insomnia or hypersomnia
psychomotor agitation or retardation
fatigue or loss of energy
feelings of worthlessness
decreased ability to think or concentrate
constant thought of suicide
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7
Q

what has to happen for someone to be diagnosed with major depressive disorder?

A

they must have 5 or more depressive symptoms for 2 or more weeks

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8
Q

characteristics of persistent depressive disorder?

A

less severe symptoms of MDD

chronic.. for 2 or more years

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9
Q

what do TCA’s do?

A

inhibit the reuptake of serotonin and norepinephrine

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10
Q

what do SSRIs do?

A

block reuptake of serotonin

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11
Q

what do MAOIs do

A

Prevents inactivation of norepinephrine and

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12
Q

what are the most common side effects of TCAs

A

orthostatic hypotension
sedation
anticholinergic effects

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13
Q

what are the most common side effects of SSRIs

A
  1. sexual dysfunction
  2. nausea
  3. weight gain/loss
  4. CNS stimulation
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14
Q

what is bipolar disorder?

A

a condition in which mood swings go from depressed to really high

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15
Q

what are the 7 criteria of a manic episode?

A 
inflated self esteem
decreased need for sleep
more talkative
distractibility 
increase in goal directed activity
excessive risky actions
lasts a week
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16
Q

what is cyclothymia

A

more mild form of bipolar disorder

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17
Q

how does cyclothymia differ from bipolar disorder?

A

less manic and less depressive episodes

many cycles over the span of 2 yrs

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18
Q

what is the goal for treating bipolar disorders?

A

we want a more stable mood

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19
Q

what are the different types of treatment for bipolar disorder?

A

lithium
anticonvulsants
antipsychotics

20
Q

what bipolar disorder treatments need blood tests to measure levels

A

lithium

anticonvulsants

21
Q

major concerns with lithium use

A

excreted by kidneys
lithium and sodium compete!
not safe in pregnancy

22
Q

adverse effects of lithium at therapeutic levels

A 
NVD
Anorexia
fatigue, muscle weakness, confusion
polyuria and thirst
tremor
23
Q

toxic levels of lithium and adverse effects

A 
gi upset
coarse tremors
ataxia
confusion
seizures
increase dilute urine excretion
24
Q

what are some anticonvulsant medications names

A

depakote (valproate)
lamotrigine (lamictal)
carbamazepine (tegretol)

25
Q

side effects of anticonvulsant medications

A

sedation
weight gain
nausea

26
Q

why are anticonvulsants used for bipolar disorder

A

they have mood stabilizing effects

27
Q

why are antipsychotics used for bipolar disorder?

A

when they aren’t responding to lithium or anti convulsants

28
Q

what are some antipsychotic drug names?

A

i. aripiprazole (abilify)
ii. quetiapine (Seroquel)
iii. risperidone (Risperdal)
iv. olanzapine (Zyprexa)

29
Q
  1. Profound sense of hopelessness
  2. History of depression
  3. History of substance abuse
  4. Verbalize suicidal thoughts, plans or wishes
  5. Prior suicide attempt
  6. Family history of suicide
  7. History of mental illness
  8. Physical illness with poor prognosis

all may lead to what

A

suicide

30
Q

who is most at risk for suicide

A
  1. Has access to lethal methods Such as guns or medications
  2. Has suffered significant loss or multiple losses (Death of loved one, job loss, financial setback)
  3. LonelyPoor social network
  4. Feels ambivalent toward treatment or doesn’t cooperate
  5. Has impulsive or aggressive tendencies
31
Q
  1. Depressive body language
  2. Eating, sleeping, concentration difficulties
  3. Using words like hopeless or helpless
  4. Making statements of finality
  5. Giving away prized posessions
  6. Making plans to leave
  7. Be alert to sudden improvement in mood

example what

A

suicidal behavior

32
Q

what are the levels of suicide on the continuum

A

ideation
suicidal gestures
suicidal attempts
suicide

33
Q

what is ideation

A

the thinking of committing suicide

34
Q

what is suicidal gestures

A

actions not likely to be lethal and may be a call to help

35
Q

what is suicidal attempts

A

lethal action taken with no desire to be saved

36
Q

what is suicide

A

act of intentionally killing one self

37
Q
  1. Encourage the survivor to talk about the suicide
  2. Avoid and guide away from blame
  3. Listen to feelings of guilt and gently present the reality of the situation
  4. Encourage discussion of the relationship with the victim
  5. Focus on both positive and negative qualities of the deceased
  6. Refer for support, resources

is nursing implications for what?

A

helping the suicide survivor

38
Q

what is central serotonin syndrome

A

too much available serotonin available

39
Q

what is patient education involving the administration of antidepressants

A

don’t stop taking abruptly
take with plenty food and water, may cause nausea
avoid alcohol

40
Q

what antidepressant is at most risk of causing withdrawal?

A

SSRI

41
Q

what are FDA approved antidepressants for children?

A

prozac (fluoxetine)
lexapro (escitlopram)
celexa (citralopram)

42
Q

what antidepressant can be used for children 8 and older

A

prozac (fluoxetine)

43
Q

what antidepressant can be used for children 12 and older

A

lexapro (escitalopram)

44
Q

what antidepressant has effects from off label use?

A

celexa (citralopram)

45
Q

what does affect does burpropion have?

A

suppress appetite

increase sexual desire and pleasure

46
Q

what is the common adverse affects of burpropion?

A

agitation

headache??

47
Q

what is the most serious effect of bupropion?

A

seizures

Nursing 120 (21 decks)

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