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J2 - Mental Health > Exam 2- Depression > Flashcards

Exam 2- Depression Flashcards

(104 cards)

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1
Q

Are there numerous standardized depression-screening tools to use in the assessment of suicidal patients?

A

Yes

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2
Q

Is the Beck Depression Inventory a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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3
Q

Is The Hamilton Depression Scale a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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4
Q

Is the Geriatric Depression Scale a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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5
Q

Is the PHQ-9 a standardized depression-screening tool that can be used in the assessment of suicidal patients?

A

Yes

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6
Q

What things do you assess to help determine if a patient is suicidal?

A
  • Affect
  • Thought Process
  • Mood
  • Feelings
  • Cognitive Changes
  • Physical Behavior
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7
Q

Are there pharmacological and somatic interventions that can be used with suicidal patients?

A

Yes

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8
Q

Is ECT therapy (electroconvulsive) a somatic intervention that can be used as an intervention in suicidal patients?

A

Yes

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9
Q

What things help with the prevention of suicide in patient’s?

A
  • Support
  • Information
  • Education
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10
Q

Is treatment necessary as an intervention with suicidal patients?

A

Yes

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11
Q

Support provided to family/friends of a person who committed suicide successfully is called what?

A

Postvention

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12
Q

Is a safety plan a necessary intervention to have with suicidal patient’s?

A

Yes (make a plan on how to keep individual safe and free of harm incase suicidal ideation occurs)

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13
Q

Is health teaching and promotion a necessary intervention with suicidal patients?

A

Yes

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14
Q

Can case management be utilized as an intervention with suicidal patients?

A

Yes

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15
Q

Is Milieu therapy a intervention with suicidal patients?

A

Yes

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16
Q

What is psychotherapy in which the patient social environment is controlled or manipulated with a view to preventing self-destructive behavior called?

A

Milieu therapy

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17
Q

Is the documentation of care a necessary intervention with suicidal patients?

A

Yes

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18
Q

Is being the patients advocate a nursing responsibility with ECT therapy?

A

Yes

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19
Q

Is ensuring the patients safety, dignity, and respect throughout the procedure a nursing responsibility with ECT therapy?

A

Yes

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20
Q

What procedure uses general anesthesia to deliver electric stimulation to the brain and produce a seizure?

A

ECT therapy

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21
Q

Since ECT therapy uses general anesthesia, is it a nursing responsibility to monitor such things as vitals, labs, etc. in relation to the patient receiving the therapy?

A

Yes

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22
Q

Is it a nursing responsibility to ensure the clinic is ready prior to starting ECT therapy?

A

Yes

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23
Q

Beck believed that depression prone individuals develop what?

A

A negative self-schema

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24
Q

Beck believed that individuals with depression possess beliefs and expectation about themselves that are essentially what?

A

Negative and pessimistic

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25
According to Beck when may negative schemas be acquired and from what?
In childhood as a result of a negative event
26
The cognitive triad was developed by who?
Beck
27
What does the cognitive triad imply?
- Negative views about self cause negative views about the world causing negative views about the future. - This keeps moving in a circle
28
What are categories of antidepressants?
- SSRIs - SNRIs - SARIs - NDRI - NaSS - TCAs - MAOIs
29
What does SSRI stand for?
Selective serotonin re-uptake inhibitors
30
What does SNRI stand for?
Serotonin norepinephrine re-uptake inhibitors
31
What does SARIs stand for?
Serotonin antagonists and re-uptake inhibitors
32
What does NDRI stand for?
Norepinephrine dopamine re-uptake inhibitors
33
What does NaSSA stand for?
Noradrenergic and specific serotonergic antidepressant
34
What does TCAs stand for?
Trycyclic antidepressants
35
What does MAOI stand for?
Monoamine oxidase inhibitors
36
What are indications for antidepressants?
- Poor self-concept - Social withdrawal - Vegetative signs of depression - Activity level
37
Is sleep disturbance a symptom that antidepressants are used to target?
Yes
38
Is a appetite disturbance (increased or decreased) a symptom that antidepressants are used to target?
Yes
39
Is fatigue a symptom that antidepressants are used to target?
Yes
40
Is a decreased sex drive a symptom that antidepressants are used to target?
Yes
41
Is psychomotor retardation or agitation a symptom that antidepressants are used to target?
Yes
42
Is diurnal variations in mood (often worse in the morning) a symptom that antidepressants are used to target?
Yes
43
Is impaired concentration a symptom that antidepressants are used to target?
Yes
44
Is Anhedonia (inability to feel happy) a symptom that antidepressants are used to target?
Yes
45
Would hypersensitivity be a contraindication to taking antidepressants?
Yes
46
Should antidepressants be use in pregnancy or lactation ?
No
47
Should antidepressants be used in narrow angle glaucoma?
No
48
Should antidepressants be used immediately after an MI?
No
49
Can antidepressants precipitate a psychotic episode in a person with schizophrenia?
Yes
50
Can antidepressants precipitate a manic episode in a patient with bipolar disorder?
Yes
51
Do patients with bipolar disorder often receive a mood-stabilizing drug in addition when taking antidepressants?
Yes
52
Is choosing the right antidepressant for the individual a priority?
Yes
53
How do you determine the right antidepressant for a patient?
- Symptom profile - Side effect profile - Hx of past response to med - Safety and medical consideration - Genotyping (when available)
54
Should antidepressants be used carefully in older patients?
Yes
55
Should antidepressants be used carefully in those with pre-existing cardiovascular disease?
Yes
56
When doing teaching, how long can a patient expect their antidepressants to start working?
1-3 weeks
57
What is the goal of antidepressant therapy?
Complete remission of symptoms
58
What should we teach a patent in regards to aggressive treatment when taking antidepressants?
It helps to find proper treatment
59
When teaching, how long is an adequate trial for treatment of depression?
3 months
60
Should we teach patients to avoid alcohol and other CNS depressants when taking antidepressants?
Yes
61
When taking MAOIs patients should avoid what? to prevent the development of hypertensive crisis
- OTC | - *Tyramine containing foods
62
When teaching, we should tell patents to monitor for adverse reactions and if they occur to do what?
Notify Dr
63
When teaching, what should we teach patients to do in addition to taking antidepressants?
Psychotherapy and progress visits
64
What are the major depressive disorder categories?
- Major depressive disorder - Persistent depressive disorder - Premenstrual dysphoric disorder - Substance/medication-induced depressive disorder - Depressive disorder due to another medical condition
65
Is major depressive disorder common?
Yes
66
What is major depressive disorders also known as?
Major depression
67
What disorders is characterized by a persistently depressed mood lasting for a minimum of 2 weeks?
Major depressive disorder
68
In major depressive disorder, what is the length of time that depressive episodes last?
5-6 months
69
Can some cases of major depressive disorder become chronic?
Yes
70
Do most people with major depressive disorder experience recurrent episodes?
Yes
71
What is persistent depressive disorder formerly known as?
Dysthymia
72
What disorder is diagnosed when feelings of depression occur most of the day, for the majority of the days?
Persistent depressive disorder
73
How long do low level depressive feelings in adults with persistent depressive disorder last?
At least 2 years
74
How long do low level depressive feelings in children/adolescents with persistent depressive disorder last?
1 year
75
In addition to depressed mood, individuals with persistent depressive disorder will have at least two of what other symptoms?
- Decreased appetite or over eating - Insomnia or hypersomnia - low energy - poor self-esteem - difficulty thinking - hopelessness
76
Symptoms of persistent depressive disorder bring social and occupational distress but are not usually severe enough for what?
Hospitalization
77
When is the onset of persistent depressive disorder usually seen?
Teenage years
78
Is it uncommon to have full-blown major depressive episodes in individuals with persistent depressive disorder?
No
79
Is persistent depressive disorder a chronic illness?
Yes
80
What treatment is seen/effective in patients with persistent depressive disorders?
- Psychotherapy - SSRIs - SNRIs - TCAs
81
What type of psychotherapy is particularly helpful in individuals with persistent depressive disorder?
CBT therapy
82
What does CBT therapy stand for?
Cognitive Behavioral therapy
83
What is a type of talk therapy which helps you become aware of inaccurate or negative thinking so you can view challenging situations more clearly and respond to them in a more effective way?
CBT therapy
84
Is premenstrual dysphoric disorder relatively new to the diagnostic system?
Yes
85
What disorder refers to a cluster of symptoms that occur in the last week before the onset of a woman's period?
Premenstrual dysphoric disorder
86
Does premenstrual dysphoric disorder cause problems severe enough to interfere with the ability to work or interact with others?
Yes
87
What symptoms are seen in premenstrual dysphoric disorder?
- Mood swings - Irritability - Depression - Anxiety - Feeling overwhelmed - Difficulty concentrating
88
When do symptoms of premenstrual dysphoric disorder decrease or disappear?
with onset of menstruation
89
Do symptoms of premenstrual dysphoric disorder disappear after menopause?
Yes
90
Can symptoms of premenstrual dysphoric disorder reappear with hormone therapy?
Yes
91
What does treatment of premenstrual dysphoric disorder include?
- Regular exercise | - Particularly aerobic
92
Is eating foods rich in complex carbs and getting enough sleep recommended to help with premenstrual dysphoric disorder?
Yes
93
Do birth controls and SSRIs help to treat premenstrual dysphoric disorder?
Yes
94
Are diuretics sometimes used to help with symptoms of bloating in premenstrual dysphoric disorder?
Yes
95
What is the name of a major depressive disorder that is caused as a result of prolonged use or withdrawal from drugs and alcohol?
Substance/medication-induced depressive disorder
96
With which disorder do the depressive symptoms last longer than the expected length of physiological effects, intoxication, or withdrawal of substances?
Substance/medication-induced depressive disorder
97
Would a person experience depressive symptoms int he absence of drug or alcohol use, or withdrawal in substance/medication-induced depressive disorder?
No
98
When do symptoms of substance/medication-induced depressive disorder appear?
within 1 month of use
99
Once the substance/medication is removed when will symptoms of substance/medication-induced depressive disorder subside?
within a few days to several weeks
100
What medications are associated with the effects of substance/medication-induced depressive disorder?
- Antivirals - Cardiovascular meds - Retinoic acid derivatives - Antidepressants - Anticonvulsants - Antimigraine agents - Antipsychotics - Hormonal agents - Smoking cessation agents - Immunological agents
101
What disorder may be caused by disorders that affect the body's systems or from long-term illnesses that cause ongoing pain?
Depressive disorder due to another medical condition
102
In what disorder are symptoms the same as diagnostic criteria for depressive disorders?
Depressive disorder due to another medical condition
103
With what depressive disorder is it necessary to rule out meds as causative agents first?
Depressive disorder due to another medical condition
104
What medical conditions are associated with depressive disorder due to another medical condition?
- Infectious or inflammatory - Cardiac disorders - Endocrine - Inflammatory disorders - Neoplastic disorders

J2 - Mental Health (15 decks)

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