Depression and Mania

Question 1

What is depression?

Answer 1

Loss of interest in life activitites

Negative view of the world

Question 2

Depression

Anhedonia

Answer 2

Loss of pleasure in usually pleasurable things

Question 3

Depression

Usually r/t ?

Answer 3

Loss (death, job, mastectomy, self esteem [rape])

Question 4

Depression

What does client look like?

Answer 4

Poor kept appearance

Question 5

Depression

Weight

Answer 5

Gain in mild

Loss in severe

Question 6

Depression

Crying

Answer 6

Crying spells with mild-mod

No tears with severe

Question 7

Depression

Clients may be ___

Answer 7

Irritable

Question 8

Depression

Do they have energy?

Answer 8

No

Question 9

Depression

Do they need help with self care?

Answer 9

Yes

Question 10

Depression

What do we need to do to help them?

Answer 10

Help them experience accomplishments

Question 11

Depression

What do we need to be careful about?

Answer 11

With compliments, these may make client feel worse

Question 12

Depression

Prevent what?

Answer 12

Isolation

Question 13

Depression

What makes them feel better?

Answer 13

Interacting with others, even if they say they don’t want to

Question 14

Depression

Severely depressed what is the best to do?

Answer 14

Sitting with client and making no demands may be the best thing that you can do

Question 15

Depression

Can these people make simple decisions?

Answer 15

No

Question 16

Depression

Assess

Answer 16

Suicide risk

Question 17

Depression

As depression lifts, what is suicide risk?

Answer 17

Increases (more energy to do the task)

Question 18

Depression

What indicates that client has made decision to kill themselves

Answer 18

Suden change in mood

Question 19

Depression

Who are at risk for suicide?
Who are successful by using very lethal methods?

Answer 19

Elderly

Elderly men

Question 20

Depression

Can they have delusions/hallucinations?

Answer 20

Yes

Question 21

Depression

Are their thoughts slowed?

Answer 21

Yes (use silence to give them time to process information

Question 22

Depression

Can they concentrate?

Answer 22

No

Question 23

Depression

What disturbances are common

Answer 23

Sleep

Question 24

Depression

Sleep for mild? sleep for severe?

Answer 24

Mild: hypersomnia

Severe: Insomnia

Question 25

Depression Generally depressed clients have difficulty with what?

Answer 25

Falling asleep Staying asleep Early morning wakening

Question 26

Mania Continuous ___

Answer 26

High

Question 27

Mania Emotions

Answer 27

Labile

Question 28

Mania Thoughts

Answer 28

Flight of ideas

Question 29

Mania Delusions

Answer 29

False idea

Question 30

Mania Example of delusions of grandeur

Answer 30

Think you are jesus

Question 31

Mania Example of delusion of persecution

Answer 31

Client thinks someone is out to get them

Question 32

Mania Do you argue the belief?

Answer 32

No

Question 33

Mania Do you talk about the delusion?

Answer 33

No

Question 34

Mania Let the client know what?

Answer 34

You accept that he/she needs the belief but you do not believe it

Question 35

Mania Look for underlying need in delusion?

Answer 35

Persecution: Client needs to feel safe Grandeur: Client needs to feel good about self/meet self-esteem needs

Question 36

Mania Constant motor activity leads to ?

Answer 36

Exhaustion

Question 37

Mania Dress

Answer 37

Inappropriate

Question 38

Mania Eat

Answer 38

Cant stop to eat; altered sleep patterns

Question 39

Mania $

Answer 39

Spending sprees

Question 40

Mania Poor ___ No ____

Answer 40

Poor judgments No inhibitions

Question 41

Mania ___ and may exploits other clients

Answer 41

Hypersexual

Question 42

Mania Manipulates -- fails -- they get mad What does manipulation make them feel?

Answer 42

Secure and powerful

Question 43

Mania Set limits--staff must be ?

Answer 43

Consistent

Question 44

Mania Decreased ____

Answer 44

Attention span

Question 45

Mania Do they have hallucinations?

Answer 45

Yea they can

Question 46

Mania Treatment Decrease what

Answer 46

Stimuli

Question 47

Mania Treatment Limit what?

Answer 47

Group activities

Question 48

Mania Treatment feel most secure in ?

Answer 48

One on one relationships

Question 49

Mania Treatment Remove ?

Answer 49

Hazards

Question 50

Mania Treatment Stay with client as what increases

Answer 50

Anxiety

Question 51

Mania Treatment Scheduled

Answer 51

Structured

Question 52

Mania Treatment Activity

Answer 52

- Provide activity to replace purposeless activity | - Writing activities provide energy outlet without too much stimulation

Question 53

Mania Treatment Staff contact

Answer 53

Brief, frequent contact with staff--too much intense conversation stimulates client

Question 54

Mania Treatment Meals Weight

Answer 54

Finger foods--*keep snacks available Stay with client during meals Weigh daily

Question 55

Mania Treatment Don't try to ?

Answer 55

Argue or reason

Question 56

Mania Treatment T/F: they will try to charm you

Answer 56

T

Question 57

Mania Treatment Blame who?

Answer 57

They blame everyone

Question 58

Mania Treatment Make sure what is maintained?

Answer 58

Dignity (client may do things or say things that they wouldn't normally do)