Big review

Question 1

depression is only secondary to what

Answer 1

hypertension

Question 2

what is wordens tasks of mourning

Answer 2

accept the loss
process grief (healthy)
adjust to the world without them
start new life

Question 3

what does serotonin do

Answer 3

pain, aggression, libido, hormones, appetite, sleep

Question 4

what are the different types of grief

Answer 4

maladaptive, acute, complicated, anticipatory, disenfranchised

Question 5

what can electroconvulsive therapy cause

Answer 5

confusion and memory relapse

Question 6

what do you want to assess when worried about suicide

Answer 6

mood, anhendonia (without pleasure), anergia (without energy), anxiety, anger, guilt, helpless, hopeless

Question 7

what does histamine do

Answer 7

alertness, inflammatory, gastric secretions

Question 8

what are some symptoms of hypomania

Answer 8

crude or sexual jokes, pressured speech, decreased attention span, euphoric mood, finically extravagant

Question 9

What is becks cognitive triad

Answer 9

1. negative view of self
2. pessimistic view of the world
3. belief that negative reinforcement will continue

Question 10

what does dopamine do

Answer 10

pleasure response, fine muscle movement

Question 11

what is maladaptive grief

Answer 11

difficulty coming to terms with loss, preoccupation with loss, impaired functioning, delayed or chronic grief

Question 12

what are the 5 stages of grief

Answer 12

denial, anger, bargaining, depression, acceptance

Question 13

which is more severe PDD or MDD

Answer 13

MMD

Question 14

how long do you have to have PDD before being diagnosed with MDD

Answer 14

2+ years

Question 15

what is the treatment for serotonin syndrome

Answer 15

stop SSRI, cooling blankets, anticonvulsant, artifical respirations, diazepam for rigidity

Question 16

what are the ss of serotonin syndrome

Answer 16

abd pain, bloating, diarrhea, fever, increased BP, mood swings, apnea, death

Question 17

what does tyramine do and where do you get it

Answer 17

from fermented foods causes vasoconstriction

Question 18

what breakes down tyramine

Answer 18

MAO

Question 19

what are the indications for electroconvulsive therapy

Answer 19

suicidal/homecidal, agitation, life threatening illness, refusal of foods or fluids, drugs not working

Question 20

what is lithium toxic/advanced level

Answer 20

1.5-2

Question 21

what is included in teaching when taking lithium carbonate

Answer 21

drink lots of water, dont take diruretics

Question 22

what do you do if someone has severe lithium toxicity

Answer 22

no antidote, gastric lavage, emetic

Question 23

what are some symptoms of delirium

Answer 23

out of touch with reality, clanging speech, destructive, aimless increased activity, too disorganized to do anything, can cause death

Question 24

what is the severe level of lithium

Answer 24

2-2.5

Question 25

what are the symptoms of severe lithium toxicity

Answer 25

ataxia, tinnitus, blurred vision, stupor, seizures, death

Question 26

what is serotonin syndrome

Answer 26

increase serotonin highest risk is SSRIs + MOI or cold meds

Question 27

what is the therapeutic level of lithium

Answer 27

0.5-1.4

Question 28

what are the long term effects of lithium

Answer 28

hypothyroidsm, kidney disease, nephrogenic, DI

Question 29

what are the interventions for early lithium toxicity

Answer 29

withhold dose, get lithium levels, change dose

Question 30

what does lithium carbondate do

Answer 30

mood stabilizer, alters sodium transport, decreases norepinephrine and dopamine

Question 31

what are the early signs of lithium toxicity

Answer 31

n/v/d, thirst, polyuria, slurred speech

Question 32

what are the ss of acute mania

Answer 32

good humor to rage, demand attention, flight of ideas, clang association, profane remarks, no time for anything

Question 33

what are the advanced signs of lithium toxicity

Answer 33

course hand tremors, confusion, EEG changes, GI upset

Question 34

what age does schizophrenia start to effect

Answer 34

20s

Question 35

what does schizophrenia effect

Answer 35

thinking, learning, emotions, social behavior, ability to perceive reality correctly

Question 36

what are the positive symptoms of schizophrenia

Answer 36

hallucinations, delusions, bizzare behavior

Question 37

what are the negative symptoms of schizophrenia

Answer 37

lack of motivation, flat affect, anhendonia, poverty of speech

Question 38

what is the purpose of 1st gen antipsychotics

Answer 38

targets positive symptoms of schizophrenia bloack dopamine

Question 39

what is the purpose of atypical 2nd gen antipsychotics

Answer 39

targets positive and negative schizophrenia symptoms has fewer side effects