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NUR 325 > Depression/Anxiety > Flashcards

Depression/Anxiety Flashcards

1
Q

dopamine

A

attention, motivation, pleasure, reward, focus, learning

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2
Q

norepinephrine

A

alertness, energy

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3
Q

serotonin

A

obsessions, compulsions, sleep, happiness

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4
Q

GABA

A

relaxation

principle inhibitory neurotransmitter

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5
Q

dopamine deficits

A

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

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6
Q

serontonin deficits

A

OCD like sx
obsessive thoughts
compulsions
impulsivity
suicide
aggression
depression
cravings

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7
Q

GABA deficits

A

anxiety
panic disorders
major depressive disorder

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8
Q

norepinephrine deficits

A

lack of energy and motivation

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9
Q

norepinephrine

A

principle excitatory neurotransmitter

fight or flight

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10
Q

Who is depression more common in?

A

women
caucasian
never married

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11
Q

what does the diagnosis of depression require?

A

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

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12
Q

S/Sx of depression

A

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

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13
Q

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

A

it will take WEEKS to start working

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14
Q

anticipatory anxiety

A

fearful expectation of panic anxiety onset

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15
Q

avoidance anxiety

A

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

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16
Q

Function of glutamate

A

stimulated by overwhelming stress hormones

17
Q

Pain attack

A

recurrent uncomfortable episodes with sudden onset of symptoms

18
Q

S/Sx of panic attacks

A

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

19
Q

What is the second line med class for anxiety?

A

benzodiazepines

20
Q

Generalized anxiety disorder

A

chronic, longer than 6 months

excessive uncontrolled worry

21
Q

S/Sx of GAD

A

autonomic hyperactivity
muscle tension
exaggerated startups
difficulty concentrating

22
Q

risk factors for GAD

A

excessive substance use
childhood abuse/family trauma
genetics

23
Q

Treatment for GAD

A

cognitive behavioral therapy
antidepressants (SSRI &SNRI)

24
Q

PTSD

A

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

25
Q

S/Sx of PTSD

A

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

26
Q

Causes of PTSD in men

A

rape
combat exposure
childhood neglect
childhood abuse

27
Q

Causes of PTSD in women

A

rape
sexual molestation
physical attack
threatened with a weapon

28
Q

Treatment for PTSD

A

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

29
Q

Social Anxiety Disorder

A

intense fear of being criticized by others

persistent fear of humiliation

negative evaluation of embarrassment in social situations

30
Q

Causes of social anxiety disorder

A

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

31
Q

Treatment for social anxiety disorder

A

cognitive behavioral therapy
SSRI
Benzodiazepines
propranolol

32
Q

OCD

A

repetitive unwanted thoughts/compulsions

repeated activities/rituals

33
Q

What are examples of OCD?

A

hoarding
cleaning
order
harm obsessions
counting

34
Q

Treatment for OCD

A

hard to treat

meds are less effective

deep brain stimulation

EMDR

transcranial magnetic stimulation

35
Q

What nursing actions should be done with administering anti depressants?

A

assess suicide risk
monitor for 4-8 weeks for efficacy

36
Q

Anticholinergic effect

A

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

37
Q

Tyramine rich foods

A

aged cheese
smoked meats
yeast
red wine

NUR 325 (14 decks)

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