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mood disorder Flashcards

1
Q

It is a disturbance in mood or affect which can be
depression or elation

A

mood/affective disorder

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2
Q

mood disorder is frequently seen in?

A

females

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3
Q

brain chemicals, norepinephrine, serotonin,
and dopamine are elevated

A

mnic stage

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4
Q

deficiency in norepinephrine, serotonin
deficiency, possibly dopamine

A

depressive state

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5
Q

etiology for mood disorder

A

o Manic Stage – brain chemicals, norepinephrine, serotonin,
and dopamine are elevated
o Depressive State – deficiency in norepinephrine, serotonin
deficiency, possibly dopamine
o Hormonal changes
o Circadian Rhythms
o Depression as an anger that turned inward
o Loss of person/object

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6
Q

A chronic depression and normal mood. The person is
overly sensitive, have intense guilty feelings, and have
bene experiencing chronic anxiety

A

dysthymia

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7
Q

in dysthymia, symptoms may persist for?

A

2 years and off

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8
Q

The person is often unaware that they have an illness
because their functioning is usually not impaired. They go
to work and managed their life but are frequently irritable
and often complaining of stress.

A

dysthymia

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9
Q

symptoms of dysthymia

A
  1. Poor appetite or overeating
  2. Insomnia
  3. Low energy or fatigue
  4. Low self-esteem
  5. Low concentration
  6. Problem solving difficulties
  7. Hopelessness
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10
Q

SYMPTOMS
1. Mood swings
2. Weeping
3. Anxiety
4. Irritability difficulty of sleeping
5. Decrease interest in any activity
*This can hinder interaction with the newborn

A

POSTPARTUM BLUES/BABY BLUES

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11
Q

3 to 4 days and the worst by 5 to 7 days it goes away by the 12th day

A

postpartum blues

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12
Q

progesterone withdrawal

A

postpartum blues

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13
Q

worst symptom for postpartum blues

A

They thought of harming the infant

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14
Q

medication for postpartum blues

A

ssri (zoloft)

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15
Q

therapies for postpartum blues

A

o Support group
o Individual
o Family therapy

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16
Q

This is an extension of the PPBLUES
o The S/S are more intense which appears 3 to 6 months or a year

A

postpartum depression

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17
Q

This is a severe and rarest postpartum disorder

A

postpartum psychosis

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18
Q

Symptoms of postpartum psychosis are exaggerated which can be characterized as:

A
  1. Insomnia
  2. Hallucination
  3. Delusion
  4. Bizarre feeling and behavior
  5. Has the thought of killing the child
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19
Q

The climate has something to do with the disorder

A

SEASONAL AFFECTIVE DISORDER

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20
Q

SYMPTOMS SEASONAL AFFECTIVE DISORDER

A
  1. Feeling of sadness
  2. Decrease activity
  3. Irritability
  4. Day time drowsiness
  5. Increased appetite
  6. Weight gain
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21
Q

NURSING MANAGEMENT for seasonal affective disorder

  1. Remove all potential ______ object
  2. Ask client _____ if he has plans of kill himself
     Formulate a _______ contract with the client that
    he will not harm himself while in your care
     Verbalizing of feelings, specially ______
  3. Spend time with the client
  4. Communicate that ______ is acceptable
     Participate in ______ activities, brisk walking, jogging,
    volleyball, punching bag, exercise bike)
A

harmful
short term
anger
crying
motor activities

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22
Q

NURSING MANAGEMENT FOR SEASONAL AFFECTIVE DISORDER

  1. Focus on ________(self-esteem)
  2. Spend time sitting with the client in ______ for a while.
    _______ is felt in the early part of the day. ______ in the day is
    the best time for the client to participate (social isolation)
  3. Allow to take responsibility for ________
  4. Focus on _______
     Patient is hallucinating and deluded
A

strength and accomplishment
silence
depression
later
own self care
reality

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23
Q

NURSING MANAGEMENT FOR SEASONAL AFFECTIVE DISORDER

  1. Teach client to use “__________” or command
    “______” or a load noise such as ________ To interrupt
    unwanted thoughts.
  2. Provide ________, fluid, physical exercise
  3. Keep strict records of sleeping pattern. Discourage _______ in
    the morning. Perform measures that promotes sleep.
  4. Provide _______.
A

thought-stopping technique
stop
hand clapping
high fiber food
sleeping
activities

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24
Q

Sex attempts are frequent to _____, male actually commit suicide

A

female

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25
suicidal clients age ?
19 below and 45 above
26
It is meant to provide the client with a sense of security
SUICIDAL PRECAUTION
27
 An activity that provide support information and education in a suicidal crisis  Can be practice in school, homes, hospital, industrial setting
primary
28
 It is the treatment in the actual suicidal crisis  They do not necessarily want to die, but they just do not know how to go on living in an intolerable situation
secondary
29
 Postvention intervention with the family and friends of a person who tried to commit suicide  To decrease traumatic after effect of the attempt  Venting of feelings at the time of a trauma or within 24 hours, assist them and cope with their feelings of shock
tertiary
30
 Postvention intervention with the family and friends of a person who tried to commit suicide  To decrease traumatic after effect of the attempt  Venting of feelings at the time of a trauma or within 24 hours, assist them and cope with their feelings of shock
tertiary
31
It is a mania with or without a history of depression
bipolar I
32
Excess norepinephrine, serotonin, and dopamine
bipolar I
33
give symptoms of bipolar I
Symptoms a. High mood b. Irritable c. Poor judgment d. Impulsive e. Insomnia f. Delusion g. Paranoid h. Hallucination i. Attention seeker j. Sarcastic k. Manipulative
34
Nursing Management a. _____ environment (dangerous) b. Patient may be likeable but needs to be avoided (during high periods) c. Set _____ (manipulative) approach quietly d. If patient is disturbed ____ him from others e. Establish a _____ environment f. Monitor intake and sleep g. Provide outlets for physical activity
safe limits separate calm
35
therapies for bipolar I
a. Individual psychotherapy b. Family c. Group d. ECT
36
A Greek word that means “stone” was banned previously but resumed in 1970s
lithium
37
toxicity of lithium
coma
38
nursing management if toxicity happens in lithium
discontinue meds. NSS, IVF, and gastric lavage
39
what is being monitored during toxicity of lithium?
serum lithium
40
normal SL Toxic effect Death
0.6 to 1.2 1.5 2.5-5 mEq/L
41
In bipolar I, Advice patient to take ____ intake it interferes with the blood result
normal salt
42
In bipolar I If NA intake increases, plasma lithium level ____ and if NA intake is decreased, plasma lithium level ____
decreases increase
43
it increases urine output and sodium output. May provoke toxicity.
diuretics
44
Avoid ______ causes decrease therapeutic effect of the Lithium because of increase urinary excretion
aminophylline
45
Avoid _____ preparation causes_______ (Lugol’s solution, K Iodine solution)
Iodine hypothyroidism
46
Avoid _______ (causes neuron toxicity)
Haloperidol
47
-Avoid giving to pregnant mother (______ effect) -Administer _____ meals (nausea, vomiting, and diarrhea)
teratogenic between
48
other side effects of lithium
Ataxia (involuntary movements), restlessness, tremors, jaundice, abdominal pain, sweating, muscle weakness
49
It is a disorder with a history of major depression and hypomania (it is not a full scale mania)
bipolar II
50
symptoms for bipolar II
a. Loss of ambition and activity b. Decrease libido c. Decrease self-esteem d. Crying e. Helpless f. Worthless sluggish g. Poor hygiene
51
medications for bipolar II
SSRI, TCA, MAOI, ECT
52
It takes effect (10 days to 4 wks)
MAOI (Nardil, Marpan, Parnate)
53
It takes effect (2 to 4 wks)
SSRI/TCA (Ludiomil, Elavil, Norpramin, Adapin)
54
medications in bipolar II, It is absorbed in the ____ and metabolized in the _____
GIT liver
55
what drugs to avoid in bipolar II?
OTC drugs
56
______rich food causes hypertension which should be avoided
tyramine
57
in bipolar II, Some ANTIDEPRESSANT is not given at night because it causes ______
insomnia
58
what drug is used in the treatment of seizures disorder or epilepsy in bipolar II?
Anticonvulsant (Dilantil, Luminal, Valium)
59
common causes of bipolar II
o Neonates – congenital defects like malformation of the brain o Infection meningitis, encephalitis, abscess o Hypoxia (during delivery and in utero) o Infants – exposure to toxins drug/drug abuse, x-ray and the above o Children – chronic diseases, brain tumors, infection, head trauma, fever, cardiovascular diseases, poisons or toxins, and the above o Young adult – alcohol, drug abuse/misuse, head injuries o Adult – all of the above
60
medical test for bipolar II
EEG

psyche 2nd term (4 decks)

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