objective 8 Flashcards

1
Q

impairment in feeling, tone, and emotional state which can influence persons behavior and perception or events

A

mood disorders

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2
Q

what are the 2 main categories of mood disorders?

A

depressive
bipolar

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3
Q

sadness “the blues”
appropriate response to stress
may c/o physical discomfort
less responsive to env
recovers within short period of time

A

mild depression

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4
Q

depressed most of the day for a 2 yr period
less severe than major
do not include psychotic features
complain always been depressed
verbalize feelings of guilt, inadequacy and irritability
feels better in AM

A

dysthymia (moderate depression)

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5
Q

depressed mood, including emotional, cognitive, physical, and behavioral symptoms and impairing functioning

A

major depressive disorder

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6
Q

what are the subtypes of MDD?

A

psychotic features
melancholic features
atypical features
catatonic features
postpartum onset
seasonal features

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7
Q

disorganized thinking, delusions, or hallucinations

A

psychotic features

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8
Q

endogenous depression
severe apathy, weight loss, profound guilt, symptoms worse in AM, suicidal ideation

A

melancholic features

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9
Q

vegetative symptoms
accompanies by anxiety

A

atypical features

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10
Q

nonresponsiveness
extreme motor retardation
withdrawal, negativity

A

catatonic features

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11
Q

within 4 weeks after childbirth
psychotic features common, delusional thoughts of infant

A

postpartum onset

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12
Q

 Inhibition of melatonin (Begin fall/winter, remit spring)
 Reduced metabolic activity
 Anergia (lack of energy or activity)
 Hypersomnia (excessive daytime sleep)
 Overeating, weight gain, carb cravings
 Responds to light therapy

A

seasonal affective disorder

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13
Q

 Refers to a cluster of symptoms that occur in the last week
before the onset of a woman’s period
 Causes problems severe enough to interfere with the ability
of a woman to work or interact with others
 Symptoms include mood swings, irritability, depression,
anxiety, feeling overwhelmed, and difficulty concentrating
 Other physical manifestations include lack of energy,
overeating, hypersomnia or insomnia, breast tenderness,
aching, bloating, and weight gain
 Symptoms decrease significantly or disappear with the
onset of menstruation

A

premenstrual dysphoric disorder

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14
Q

 Diagnosed when feelings of depression occur most of the
day, for the majority of days
 Feelings last at least 2 years in adults and 1 year in children
and adolescents
 Individuals with this disorder have at least two of the
following:
 decreased appetite or overeating, insomnia or hypersomnia, low
energy, poor self-esteem, difficulty thinking, hopelessness

A

persistent depressive disorder

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15
Q

 Most new moms will get the “baby blues” (up to 85 percent)
 Hormonal changes can cause anxiety, crying and restlessness
that goes away within the first two weeks after giving birth.
 Mild and temporary form of depression that goes away once
hormones level out.

A

postpartum blues

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16
Q

 It can happen anytime during pregnancy, to several months after
childbirth.
 It can affect first-time mothers or mothers who have already had
children before, and it can also affect those who are adopting

A

postpartum depression

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17
Q

what are the risk factors of PPD?

A
  1. Past episodes of depression or anxiety
  2. Stress
  3. Societal pressures
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18
Q

An extremely serious condition where a new mother may have problems
with seeing or hearing things which aren’t there, in addition to thoughts of
harming others (even her children) in order to protect them

A

PP psychosis

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19
Q

 Focus on patient’s strengths
 Treatment goals mutually developed
 Based on patient’s personal needs and values

A

recovery model

20
Q

what are the 3 phases of implementation?

A

acute phase
continuation phase
maintenance phase

21
Q

6 to 12 weeks

A

acute phase

22
Q

4 to 9 months

A

continuation phase

23
Q

1 year or more

A

maintenance phase

24
Q

 First-line therapy
 Indications
 Adverse reactions
 Potential toxic effects

A

selective serotonin reuptake inhibitors (SSRIs)

25
Q

 Neurotransmitter effects
 Indications
 Adverse effects
 Toxic effects
 Adverse drug interactions
 Contraindications
 Patient and family teaching

A

tricyclic antidepressants (TCAs)

26
Q

Neurotransmitter effects
 Indications
 Adverse/toxic effects
 Interactions
 Drugs
 Food
 Contraindications

A

monamine oxidase inhibitors (MAOIs)

27
Q

 “Shock treatment”
 Somatic therapy
 Places electrodes at precise locations on pt head
& uses electrical current to induce convulsive
seizures
 Thought to correct biochemical abnormalities in
the brain

A

ECT

28
Q

Mood swings, alternating from depression to elation
with periods of normality between episodes

A

bipolar disorder

29
Q

what are the categories of Bipolar disorder?

A

bipolar I
bipolar II
cyclothymic disorder

30
Q

at least one episode of mania alternating with major depression

A

Bipolar I

31
Q

hypomanic episodes alternating with depression

A

Bipolar II

32
Q

exaggerated feeling well being

A

euphoria

33
Q

extreme happiness

A

elation

34
Q

falls between normal euphoria and mania

A

hypomania

35
Q

prevent injury
 Medical stabilization
 Maintaining safety
 Self-care needs

A

acute phase

35
Q

 Excessive elation, inflated self-esteem & grandiosity
 Rapid cycling- the occurrence of four or more mood
episodes during previous 12 months

A

mania

35
Q

 Manipulative
 Demanding
 Splitting

A

manic patient

36
Q

 Maintain medication adherence
 Psychoeducational teaching
 Referrals

A

continuation phase

37
Q

limit severity and duration of future episodes
prevent relapse

A

maintenance phase

38
Q

 Indications
 Therapeutic and toxic levels
 Therapeutic blood level: 0.8 to 1.4 mEq/L
 Maintenance blood level: 0.4 to 1.3 mEq/L
 Toxic blood level: 1.5 mEq/L and above
 Adverse effects and toxicity (Table 14.4, pg. 260)
 Patient and Family Teaching: pg. 261

A

lithium carbonate

39
Q

what are the dimensions of hospice palliative care nursing?

A

 Valuing
 Connecting
 Empowering
 Doing for
 Finding meaning

40
Q

In addition to providing practical care, nurses
practise enhanced skills in…?

A

 Communication
 Coordination
 Management skills
 Self-care
 Recognizing and attending to the meaning in suffering

41
Q

what are the four gifts resolving relationships?

A

forgiveness
love
gratitude
farewell

42
Q

what are the types of grief?

A

disenfranchised grief
complicated grief

43
Q

what are the tasks of mourning?

A

 Accept the reality of the loss
 Experience the pain of grief
 Adjust to an environment without the loved one
(externally, internally, and spiritually)
 Relocate and memorialize the loved one