Brainscape's Knowledge GenomeTM

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


See full index

COC N126 Psych 🧠 > Midterm 2 Material Depression (Chp 15), Bipolar Disorder (Chp 16), Anxiety (Chp 11), Violence (Ch24), Anger + Aggression, Chapter 10 Trauma Informed Care > Flashcards

Midterm 2 Material Depression (Chp 15), Bipolar Disorder (Chp 16), Anxiety (Chp 11), Violence (Ch24), Anger + Aggression, Chapter 10 Trauma Informed Care Flashcards

You may prefer our related Brainscape-certified flashcards:
Psychology 101 flashcards GRE® Psychology flashcards
1
Q

Differentiate major depression disorder MDD (5) vs Persistent Depression Disorder PDD (3)

A

Major Depressive Disorder (5)
- Suicidal Ideation
- Unable to function
- May have psychosis
- Anorexia
- Depressed mood in nearly all activities

Persistent Depressive Disorder (3)
- Symptoms less severe (not hospitalized)
- Overeating
- Chronic, must be depressed for 2 years to be diagnosed PDD

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

Children and Adolescents may display what type of depressive symptoms? (4)

A
  • Anxiety
  • Somatic symptoms
  • Decreased interactions/avoidance
  • Irritable rather than sad mood; high suicide risk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In older adults, when does suicide peak? Second peak?

A

Middle age
Second peak at age 75

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

True or false: Depressive disorders in older adults is commonly associated with chronic illness

A

True, depression is typically secondary to a chronic illness in the geriatric population

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

What is the highest priority assessment for a depressed individual?

A

Risk of suicide

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

How do you assess for depression? What does it stand for?

A

Sad mood/Sleep distrubances
Interest diminished (Anhedonia)
Guilt/Feelings of worthlessness

Energy loss (Anergia)/Esteem loss

Concentration diminished
Appetite changes
Psychomotor retardation
Suicidal ideation

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

Risk factors of Depression? (11)

A

First degree family history of depressive disorders
Age 40 years or younger
Member of the LGBTQ community

Postpartum period
History of prior episodes of depression/ suicide attempts
Absence of social support
Negative, stressful life events, particularly early trauma

Chronic medical illness
History of sexual abuse
Active alcohol or substance use disorder
Female gender

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

Cognitive theory is the theory that…

A

the triad of negative beliefs cause depression due to a negative reaction to the world:
- Negative view of self
- Negative view of the world
- Belief that only bad things will happen in the future

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

Learned Helplessness is the…

A

Belief that negative events are their fault and can’t fix them

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

Diathesis-stress theory is…

A

The combination of events (stressors) and biological factors (neurotransmitter imbalance or genetics) cause depression

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

What is the most commonly used assessment tool for depression?

A

Hamilton Depression Scale

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

What should you assess for someone with depression? (6)

A
  • Evaluate patient’s risk of suicide or harm to others
  • Determine if the depression is primary or secondary to another disorder
  • Assess for history of depression
  • Assess support systems
  • Assess for triggering events
  • Complete a psychosocial and spiritual assessment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the nursing care plans for depression? (Name at least 4/9)

A
  • Risk for suicide
  • Ineffective coping
  • Low self esteem
  • Hopelessness
  • Helplessness
  • Self care deficit
  • Risk for self-mutilation
  • Despair
  • Depressed mood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are nursing interventions for depression? (7)

A
  • Therapeutic communication
  • Medication therapy
  • Health teaching and health promotion
  • Milieu therapy
  • Mindfulness-Based cognitive therapy
  • Group Therapy
  • First-line psychotherapy interventions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the first-line treatment for depression?

A

SSRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Side effects of SSRIs
Common (7)
Serious (2)

A

Common:
- Sexual dysfunction
- Increased weight
- Headache
- Dizziness
- Constipation/diarrhea
- Insomnia
- Anxiety

Serious:
- Serotonin syndrome
- Mania

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

Possibly not on the exam
Second-line treatment for depression are? Examples?

What effect do they have on SSRI’s?

A

SNRIs: duloxetine, venlafaxine
SNDIs: mirtazapine

Augment the effects of SSRIs

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

How do TCAs work?
What are some common side effects? (8)

A

Blocks the reuptake of norepinephrine and serotonin

Common side effects:
- Anticholinergic side effects (4)
- Adrenergic side effects
- Tachycardia
- Orthostatic hypotension
- Cardio-toxicity
- Dizziness
- Weight gain
- Sedation

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

MAOIs work by…

Side effects…(8)

Should caution eating…

A

Blocking the enzyme involved in breaking down monoamines resulting in an increase in; norepinephrine, dopamine, serotonin

Side effects include
- Hyertensive crisis
- Weight gain
- Fatigue
- Sexual dysfunction
- Hypotension
- Muscle cramps
- Urinary retention
- Constipation

Should caution eating tyramine rich foods such as
- Chocolate
- Cheese
- Meat
- OTC cough medication
- Alcohol
- Tofu
- Died fruits and veggies
- Avocados

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

What is the number 1 most effective treatment to date for depression?

What are the side effects of this procedure? (5)

A

ECT
Electroconvulsive therapy

Side effects
- Short-term memory loss
- Confusion
- Headache
- Muscle soreness
- Nausea

21
Q

Who does not qualify for ECT?

A

Patient’s with cardiac issues

22
Q

What patients should be cautioned for ECT? (3)

A

Head trauma
Seizure disorders
Brain tumors

23
Q

When is clinical depression considered treatment resistant?

A

When 2 or more pharmacological interventions fail

24
Q

When is ECT indicated? (5)

A
  • When drug therapy fails
  • There is a need for rapid, definitive response when a patient is suicidal or homicidal.
  • The patient exhibits extreme agitation or psychomotor retardation and stupor
  • The patient has severe mania
  • The patient develops a life-threatening illness because of refusal of foods and fluids
25
Q

Common cognitive disorders

What is filtering?

A

Taking negative details and magnifying them while filtering out all positive aspects of a situation

26
Q

Common cognitive disorders

Polarized thinking

A

Things are either “black or white”. We have to be perfect or we’re a failure-there is no middle ground or shades of gray.

27
Q

Common cognitive disorders

Overgenralization

A

Coming to a general conclusion based on a single incident or a single piece of evidence =. If something bad happens only once, we expect it to happen over and over again.

28
Q

Common cognitive disorders

Jumping to conclusions

A

Without individuals saying so, we think we know what they are feeling and why they act the way they do

29
Q

Common cognitive disorders

Catastrophizing

A

We expect disaster to strike, no matter what. We exaggerate the importance of insignificant events.

30
Q

Common cognitive disorders

Personalization

A

A distorted belief that everything others do or say is somehow about us.

31
Q

Common cognitive disorders

Control fallacies

A

We see ourselves as helpless, a victim of fate, having no control, or we assume total responsibility for the pain and happiness of everyone around us (over control).

32
Q

Common cognitive disorders

Fallacy of fairness

A

We feel resentful because we think we know what is fair, but other people won’t agree with us.

33
Q

Common cognitive disorders

Blaming

A

We hold other people responsible for our feelings and behaviors. Nobody can “make” us feel any particular way…only we have control over our own emotions and emotional reactions.

34
Q

Common cognitive disorders

Should

A

We have a lost of ironclad rules about how we and others should and must behave

35
Q

Common cognitive disorders

Emotional reasoning

A

We believe that what we feel must be true automatically. “I feel it; therefore it must be true”

36
Q

Common cognitive disorders

Global Labeling

A

We generalize one or two qualities into a negative global judgement. For example, “I’m a loser” verses “In one situation, I failed.”

37
Q

Common cognitive disorders

Always being right

A

I have to prove my opinions and actions are correct. Being wrong is unthinkable

38
Q

What does OARS stand for?

A

Open-ended questions
Affirmations
Reflective reasoning
Summaries

39
Q

What does BATHE stand for in motivational interviewing

A

Background
Affect
Trouble
Handle
E

40
Q

What does ICRA stand for?

A

I
C
R
A

41
Q

COC Conceptual Framework
(Inquiry and Caring (6)

Centerpiece of Inquiry and Caring (4)

A
  • Professionalism
  • Leadership
  • Communication
  • Critical Thinking
  • Patient-centered care
  • Safety
  • Person
  • Nursing
  • Health
  • Environment
42
Q

Adverse Childhood Experiences (ACEs) (3)
3

2

5

A

Abuse
- physical
- emotional
- sexual

Neglect
- physical
- emotional

Household challenges
- Mental illness
- Intimate partner violence
- Parental separation or divorce
- Incarceration
- Substance abuse

43
Q

Social Determinants of Health (5)

A
  • Education access and quality
  • Healthcare access and quality
  • Economic stability
  • Neighborhood and built environment
  • Social and community context
44
Q

Guiding Principles of Trauma Informed Care (6)

A
  • Safety (physical and psychological)
  • Trustworthiness and transparency
  • Peer support and mutual self-help
  • Collaboration and mutuality
  • Environment, voice, and, choice
  • Cultural, historical, and gender issues
45
Q

What are the symptoms of PTSD? (8)
How long do these symptoms last?

A
  • Helplessness/Hopelessness
  • Flashbacks
  • Nightmares
  • Persistent avoidance of stimuli r/t event
  • Persistent numbing of general responsiveness
  • Relationship issues
  • Cognitive distortions
  • Increased: arousal, exaggerated startle response, lack of trust

These symptoms last for more than 4 weeks

46
Q

Treatments for PTSD
Psychotherapy (6)

A
  • Prolonged exposure therapy
  • Cognitive process therapy
  • Eye movement desensitization and reprocessing
  • Cognitive behavior therapy
  • Family therapy
  • Relaxation/stress relieving techniques
47
Q

PTSD pharmacology tx (3)

A

SSRIs:
- Sertraline
- Paroxetine

Psilocybin Mushrooms

48
Q

True or False: Therapy in combination with medications is needed for medication to be effective for PTSD

A

True

COC N126 Psych 🧠 (9 decks)

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