T1-Depressive Disorders

Question 1

What are symptoms of depression in a child younger than 3?

Answer 1

Feeding problems
Tantrums
Lack of playfulness and emotional expressiveness

Question 2

What are symptoms of depression in ages 3-5?

Answer 2

Prone to accidents
Phobias
Excessive self-reproach

Question 3

What are symptoms of depression in 6-8 year olds?

Answer 3

Physical complaints
Aggressive behavior
Clinging behavior

Question 4

What are symptoms of depression in 9-12 year olds?

Answer 4

Morbid thoughts

Excessive worrying

Question 5

What is the focus of therapy when treating depressed children?

Answer 5

Alleviate symptoms and strengthen coping skills

Question 6

What are symptoms of depression in adolescence?

Answer 6

• Anger/aggressivenss
• Running away
• Delinquency
• Social withdrawal
• Sexual acting out
• Substance abuse
• Restlessness, apathy

Question 7

What is the best clue that differentiates depression from normal, stormy adolescent behavior?

Answer 7

A visible manifestation of BEHAVIORAL CHANGE THAT LASTS SEVERAL WEEKS

Question 8

What is the most common precipitant to adolescent suicide?

Answer 8

Perception of abandonment by parents or close peer relationship

Question 9

How are depressed adolescents treated?

Answer 9

Supportive psychosocial intervention

Antidepressant meds

Question 10

What is important to know about a teen on antidepressant meds?

Answer 10

ALL antidepressants carry a BBW for increased risk of suicidality in children and adolescents!!!

Question 11

What is senescence?

Answer 11

• Bereavement overload
• High % of suicides among ELDERLY
• Symptoms of depression confused with symptoms of neurocognitive disorder

Question 12

How do we treat senescence?

Answer 12

Antidepressant meds

Electroconvulsive therapy

Question 13

How long does postpartum depression last?

Answer 13

Few weeks-several months

Question 14

What is postpartum depression associated with?

Answer 14

Hormonal changes
Tryptophan metabolism
Cell alterations

Question 15

Symptoms of postpartum depression?

Answer 15

Fatigue, irritability
Loss of appetite
Sleep disturbances

Question 16

What is mild depression symptoms similar to?

Answer 16

Those associated with normal grieving

Question 17

What is moderate depression symptoms associated with?

Answer 17

Dysthymic disorder

Question 18

What does severe depression symptoms include?

Answer 18

MDD and BP depression

Question 19

What depression?:

• Affective: anger, anxiety
• Behavioral: tearful, regression
• Cognitive: preoccupied with loss
• Physiological: anorexia, insomnia

Answer 19

Mild depression

Question 20

What depression?:

• Affective: Helpless, powerless
• Behavioral: Slowed physical movements, slumped posture, limited verbalization
• Cognitive: Retarded thinking processes, difficulity with concentration
• Physiological: Anorexia or overeating, sleep disturbances, headaches

Answer 20

Moderate depression

Question 21

What depression?:

• Affective: Feelings of total despair, worthlessness, flat affect
• Behavioral: psychomotor retardation, curled up position, absence of communication
• Cognitive: Prevalent delusional thinking with delusions of persecution and somatic delusions; confusion; suicidal thoughts
• Physiological: A general slow down of the entire body

Answer 21

Severe depression

Question 22

What are nursing diagnosis for depression?

Answer 22

• Depression risk for suicide r/t
• Depression low self esteem r/t
• Depression spiritual distress r/t

Question 23

Depression risk for suicide r/t:

Answer 23

• Depressed mood
• Feelings of worthlessness
• Anger turned inward on the self
• Misinterpretations of reality

Question 24

Depression low self-esteem r/t:

Answer 24

• Learned helplessness
• Feelings of abandonment by significant others
• Impaired cognition fostering negative view of self

Question 25

Depression spiritual distress r/t:

Answer 25

-Complicated grieving process over loss of valued object evidenced by anger toward God, questioning meaning of existence, inability to participate in usual religious practices

Question 26

An individual experienced the death of a parent two years ago. This individual has not been able to work since the death, cannot look at any of the parent’s belongings, and cries daily for hours at a time. Which nursing diagnosis most accurately describes this individual’s problem?

A. Posttrauma syndrome R/T parent’s death
B. Anxiety (severe) R/T parent’s death
C. Coping, ineffective, R/T parent’s death
D. Grieving, complicated, R/T parent’s death

Answer 26

D

Question 27

What are signs the client is starting to cope well and overcome the depression?

Answer 27

• No physical harm to self
• Discusses loss with staff or family members
• No longer idealizes/obssess about the lost entity
• Realistic goals set
• Attempts new activities w/o fear of failure
• Able to identify aspects of self control over life situation
• Expresses personal satisification and support from spiritual practices
• Interacts willingly with outers
• Maintain reality orientation
• Concentrates, reasons, solves problems

Question 28

What are some questions to ask during the evaluation stage?

Answer 28

1. Has self harm to client been avoided?
2. Does client know where to seek assistance outside hospital if sucidal thoughts occur again?
3. Has client discussed recent loss with staff and family members?