Depression/Anxiety

Question 1

dopamine

Answer 1

attention, motivation, pleasure, reward, focus, learning

Question 2

norepinephrine

Answer 2

alertness, energy

Question 3

serotonin

Answer 3

obsessions, compulsions, sleep, happiness

Question 4

GABA

Answer 4

relaxation

principle inhibitory neurotransmitter

Question 5

dopamine deficits

Answer 5

parkinson’s like sx
slow reaction times
anergia
Anhedonia-pleasure center dysfunction

Question 6

serontonin deficits

Answer 6

OCD like sx
obsessive thoughts
compulsions
impulsivity
suicide
aggression
depression
cravings

Question 7

GABA deficits

Answer 7

anxiety
panic disorders
major depressive disorder

Question 8

norepinephrine deficits

Answer 8

lack of energy and motivation

Question 9

norepinephrine

Answer 9

principle excitatory neurotransmitter

fight or flight

Question 10

Who is depression more common in?

Answer 10

women
caucasian
never married

Question 11

what does the diagnosis of depression require?

Answer 11

presence of multiple symptoms that are intense enough to cause distress and persistently impair psychosocial function

Question 12

S/Sx of depression

Answer 12

loss of interest, pleasure
extreme fatigue
restlessness
irritability
impaired concentration
decreased self esteem
sleep disturbances

Question 13

When giving anti depressants, what do you have to educate your patient about?

Answer 13

it will take WEEKS to start working

Question 14

anticipatory anxiety

Answer 14

fearful expectation of panic anxiety onset

Question 15

avoidance anxiety

Answer 15

personal strategies to increase feeling of control and decrease risk of panic anxiety

Question 16

Function of glutamate

Answer 16

stimulated by overwhelming stress hormones

Question 17

Pain attack

Answer 17

recurrent uncomfortable episodes with sudden onset of symptoms

Question 18

S/Sx of panic attacks

Answer 18

heart palpitations
chest pain
SOA
dizziness
nausea
fear of losing control
tingling in hands
flushing or chills

Question 19

What is the second line med class for anxiety?

Answer 19

benzodiazepines

Question 20

Generalized anxiety disorder

Answer 20

chronic, longer than 6 months

excessive uncontrolled worry

Question 21

S/Sx of GAD

Answer 21

autonomic hyperactivity
muscle tension
exaggerated startups
difficulty concentrating

Question 22

risk factors for GAD

Answer 22

excessive substance use
childhood abuse/family trauma
genetics

Question 23

Treatment for GAD

Answer 23

cognitive behavioral therapy
antidepressants (SSRI &SNRI)

Question 24

PTSD

Answer 24

chronic activation of stress response in relation to exposure to potentially life threatening events

Question 25

S/Sx of PTSD

Answer 25

hyperarousal avoidance of reminders vivid flashbacks of event nightmares emotional blunting exaggerated startle

Question 26

Causes of PTSD in men

Answer 26

rape combat exposure childhood neglect childhood abuse

Question 27

Causes of PTSD in women

Answer 27

rape sexual molestation physical attack threatened with a weapon

Question 28

Treatment for PTSD

Answer 28

trauma focused psychotherapy cognitive behavioral therapy EMDR-eye movement desensitization and reprocessing

Question 29

Social Anxiety Disorder

Answer 29

intense fear of being criticized by others persistent fear of humiliation negative evaluation of embarrassment in social situations

Question 30

Causes of social anxiety disorder

Answer 30

inherited traits problems in amygdala-fear response environment-learned behavior

Question 31

Treatment for social anxiety disorder

Answer 31

cognitive behavioral therapy SSRI Benzodiazepines propranolol

Question 32

OCD

Answer 32

repetitive unwanted thoughts/compulsions repeated activities/rituals

Question 33

What are examples of OCD?

Answer 33

hoarding cleaning order harm obsessions counting

Question 34

Treatment for OCD

Answer 34

hard to treat meds are less effective deep brain stimulation EMDR transcranial magnetic stimulation

Question 35

What nursing actions should be done with administering anti depressants?

Answer 35

assess suicide risk monitor for 4-8 weeks for efficacy

Question 36

Anticholinergic effect

Answer 36

hot as a hare dry as a bone blind as a bat red as a beet mad as a hatter overheated, dry mouth and skin, blurry vision, redness, confusion

Question 37

Tyramine rich foods

Answer 37

aged cheese smoked meats yeast red wine