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NUR 329 > week 3.1 > Flashcards

week 3.1 Flashcards

1
Q

Who is more likely to have depressive disorders?

A

females
Caucasians

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2
Q

What indicates a depressed brain on a PET scan?

A

More black area indicating less activity

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3
Q

are identical twins at a higher or lower risk of developing depressive disorder?

A

High-risk

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4
Q

What are causes in children of depressive disorders?

A

detachment
Divorce, death
Relocation
Loss*

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5
Q

what is a possible cause of depressive disorder in teens

A

Conflict with independence and maturity
Break ups

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6
Q

major depressive disorder diagnostics

A

Greater than or equal to five symptoms in a two week period

Weight loss, appetite changes
Sleep disturbances
Agitation
Retardation
Recurrent SI
Depressed mood
Anhedonia

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7
Q

is major depressive order the presence or absence of manic or hypomanic episodes

A

Absence

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8
Q

MDD symptoms <3 years old

A

failure to thrive
Feeding problems
Lack of play and emotional expression
Delay in development

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9
Q

MDD symptoms 3-5 years old

A

prone to accidents
Phobias
Aggressiveness
Excessive self reproach for minor in fractions

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10
Q

MDD symptoms 6-8 years old

A

Vague, physical complaints
Avoiding new people or things
Clinging to parents
Low social skills and school performance

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11
Q

MDD symptoms 9-12 years old

A

morbid thoughts
Excessive worry
Lack of social interest
Thinking they’re disappointing their parents

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12
Q

Disruptive mood dysregulation disorder

A

behavioral or verbal temper tantrums
Anger and constantly irritable

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13
Q

Who is most likely to get DMDD?

A

6–18 years old
males

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14
Q

does a diagnosis justify DMDD if the onset is after 10 years old?

A

No, onset before 10 years old

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15
Q

persistent depressive disorder

A

Low level of depressive feelings for most of the day

Decreased appetite or over eating
Insomnia, or hypersomnia
Low self-esteem
Hopelessness

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16
Q

what is the timeline of persistent depressive disorder?

A

adults- around two years
Children and teens - around one year

17
Q

Premenstrual dysphoric disorder

A

symptoms cluster last week prior to onset of period

Mood swings, low energy, bloating, breast, tenderness, weight gain, D/A

18
Q

Do the symptoms of premenstrual dysphoric disorder go away once the period starts?

A

yes
Meds only needed for symptomatic care

19
Q

assessment of depressive patients

A

Affect
Thought process
Mood
Judgment
Physical behavior
Communication
Spirituality

20
Q

affect

A

Outward expression of someone’s internal emotional state

21
Q

Mood

A

persons, emotional state expressed in OWN words

22
Q

psycho motor retardation

A

Visibly slowing of physical activity, slow talking, slow chewing, long pauses in speech

23
Q

psycho motor agitation

A

Increase in activity brought on by mental tension

Restlessness, pacing

24
Q

anti-depressant medication, education

A

Symptoms improve in 4–8 weeks

Physiologic symptoms will improve before psychological symptoms

These medication’s are not addictive

Do not stopped abruptly

Do not drink alcohol

Limit caffeine

Side effects will go away around two weeks

Discontinuation may result in relapse, tapering is needed

25
Q

What is the cause of Black Box warnings for SSRIs?

A

Increased suicide ideation’s risk

26
Q

serotonin syndrome sx

A

mental status changes
Flushing, tachycardia, mydriasis
Myoclonus, tremors
N/V/D

Fatal – overreaction of serotonin receptors

27
Q

serotonin syndrome tx

A

stop meds or decrease dose
Give benzos for agitation and muscle relaxer
Oxygen
IVF

28
Q

HTN crisis sx

A

Occipital headache
Palpitations
N/V
Hypertension

29
Q

what are the most common side effects of SSRIs?

A

dry mouth
sexual problems
headache
blurred vision

NUR 329 (14 decks)

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