Exam 5 - Mood and Suicide

Question 1

An individuals sustained emotional tone which influences behavior, personality, and how they perceive the world

Answer 1

mood

Question 2

the behavioral expression of mood

Answer 2

affect

Question 3

what are the two categories of mood

Answer 3

bipolar

depression

Question 4

when does depression become a illness?

Answer 4

when they are unable to adapt

Question 5

what are the differences between grief and depression?

Answer 5

in grief, mood changes
in grief, they respond to warmth
in grief, they don’t lose connections

Question 6

what are the 9 diagnostic signs of major depressive disorder?

Answer 6

depressed mood
loss of interest and pleasure
significant weight loss of gain
insomnia or hypersomnia
psychomotor agitation or retardation
fatigue or loss of energy
feelings of worthlessness
decreased ability to think or concentrate
constant thought of suicide

Question 7

what has to happen for someone to be diagnosed with major depressive disorder?

Answer 7

they must have 5 or more depressive symptoms for 2 or more weeks

Question 8

characteristics of persistent depressive disorder?

Answer 8

less severe symptoms of MDD

chronic.. for 2 or more years

Question 9

what do TCA’s do?

Answer 9

inhibit the reuptake of serotonin and norepinephrine

Question 10

what do SSRIs do?

Answer 10

block reuptake of serotonin

Question 11

what do MAOIs do

Answer 11

Prevents inactivation of norepinephrine and

Question 12

what are the most common side effects of TCAs

Answer 12

orthostatic hypotension
sedation
anticholinergic effects

Question 13

what are the most common side effects of SSRIs

Answer 13

1. sexual dysfunction
2. nausea
3. weight gain/loss
4. CNS stimulation

Question 14

what is bipolar disorder?

Answer 14

a condition in which mood swings go from depressed to really high

Question 15

what are the 7 criteria of a manic episode?

Answer 15

inflated self esteem
decreased need for sleep
more talkative
distractibility 
increase in goal directed activity
excessive risky actions
lasts a week

Question 16

what is cyclothymia

Answer 16

more mild form of bipolar disorder

Question 17

how does cyclothymia differ from bipolar disorder?

Answer 17

less manic and less depressive episodes

many cycles over the span of 2 yrs

Question 18

what is the goal for treating bipolar disorders?

Answer 18

we want a more stable mood

Question 19

what are the different types of treatment for bipolar disorder?

Answer 19

lithium
anticonvulsants
antipsychotics

Question 20

what bipolar disorder treatments need blood tests to measure levels

Answer 20

lithium

anticonvulsants

Question 21

major concerns with lithium use

Answer 21

excreted by kidneys
lithium and sodium compete!
not safe in pregnancy

Question 22

adverse effects of lithium at therapeutic levels

Answer 22

NVD
Anorexia
fatigue, muscle weakness, confusion
polyuria and thirst
tremor

Question 23

toxic levels of lithium and adverse effects

Answer 23

gi upset
coarse tremors
ataxia
confusion
seizures
increase dilute urine excretion

Question 24

what are some anticonvulsant medications names

Answer 24

depakote (valproate)
lamotrigine (lamictal)
carbamazepine (tegretol)

Question 25

side effects of anticonvulsant medications

Answer 25

sedation weight gain nausea

Question 26

why are anticonvulsants used for bipolar disorder

Answer 26

they have mood stabilizing effects

Question 27

why are antipsychotics used for bipolar disorder?

Answer 27

when they aren't responding to lithium or anti convulsants

Question 28

what are some antipsychotic drug names?

Answer 28

i. aripiprazole (abilify) ii. quetiapine (Seroquel) iii. risperidone (Risperdal) iv. olanzapine (Zyprexa)

Question 29

1. Profound sense of hopelessness 2. History of depression 3. History of substance abuse 4. Verbalize suicidal thoughts, plans or wishes 5. Prior suicide attempt 6. Family history of suicide 7. History of mental illness 8. Physical illness with poor prognosis all may lead to what

Answer 29

suicide

Question 30

who is most at risk for suicide

Answer 30

1. Has access to lethal methods Such as guns or medications 2. Has suffered significant loss or multiple losses (Death of loved one, job loss, financial setback) 3. LonelyPoor social network 4. Feels ambivalent toward treatment or doesn’t cooperate 5. Has impulsive or aggressive tendencies

Question 31

1. Depressive body language 2. Eating, sleeping, concentration difficulties 3. Using words like hopeless or helpless 4. Making statements of finality 5. Giving away prized posessions 6. Making plans to leave 7. Be alert to sudden improvement in mood example what

Answer 31

suicidal behavior

Question 32

what are the levels of suicide on the continuum

Answer 32

ideation suicidal gestures suicidal attempts suicide

Question 33

what is ideation

Answer 33

the thinking of committing suicide

Question 34

what is suicidal gestures

Answer 34

actions not likely to be lethal and may be a call to help

Question 35

what is suicidal attempts

Answer 35

lethal action taken with no desire to be saved

Question 36

what is suicide

Answer 36

act of intentionally killing one self

Question 37

1. Encourage the survivor to talk about the suicide 2. Avoid and guide away from blame 3. Listen to feelings of guilt and gently present the reality of the situation 4. Encourage discussion of the relationship with the victim 5. Focus on both positive and negative qualities of the deceased 6. Refer for support, resources is nursing implications for what?

Answer 37

helping the suicide survivor

Question 38

what is central serotonin syndrome

Answer 38

too much available serotonin available

Question 39

what is patient education involving the administration of antidepressants

Answer 39

don't stop taking abruptly take with plenty food and water, may cause nausea avoid alcohol

Question 40

what antidepressant is at most risk of causing withdrawal?

Answer 40

SSRI

Question 41

what are FDA approved antidepressants for children?

Answer 41

prozac (fluoxetine) lexapro (escitlopram) celexa (citralopram)

Question 42

what antidepressant can be used for children 8 and older

Answer 42

prozac (fluoxetine)

Question 43

what antidepressant can be used for children 12 and older

Answer 43

lexapro (escitalopram)

Question 44

what antidepressant has effects from off label use?

Answer 44

celexa (citralopram)

Question 45

what does affect does burpropion have?

Answer 45

suppress appetite | increase sexual desire and pleasure

Question 46

what is the common adverse affects of burpropion?

Answer 46

agitation | headache??

Question 47

what is the most serious effect of bupropion?

Answer 47

seizures