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Flashcards in T1-Depressive Disorders Deck (28):
1

What are symptoms of depression in a child younger than 3?

Feeding problems
Tantrums
Lack of playfulness and emotional expressiveness

2

What are symptoms of depression in ages 3-5?

Prone to accidents
Phobias
Excessive self-reproach

3

What are symptoms of depression in 6-8 year olds?

Physical complaints
Aggressive behavior
Clinging behavior

4

What are symptoms of depression in 9-12 year olds?

Morbid thoughts
Excessive worrying

5

What is the focus of therapy when treating depressed children?

Alleviate symptoms and strengthen coping skills

6

What are symptoms of depression in adolescence?

-Anger/aggressivenss
-Running away
-Delinquency
-Social withdrawal
-Sexual acting out
-Substance abuse
-Restlessness, apathy

7

What is the best clue that differentiates depression from normal, stormy adolescent behavior?

A visible manifestation of BEHAVIORAL CHANGE THAT LASTS SEVERAL WEEKS

8

What is the most common precipitant to adolescent suicide?

Perception of abandonment by parents or close peer relationship

9

How are depressed adolescents treated?

Supportive psychosocial intervention
Antidepressant meds

10

What is important to know about a teen on antidepressant meds?

ALL antidepressants carry a BBW for increased risk of suicidality in children and adolescents!!!

11

What is senescence?

-Bereavement overload
-High % of suicides among ELDERLY
-Symptoms of depression confused with symptoms of neurocognitive disorder

12

How do we treat senescence?

Antidepressant meds
Electroconvulsive therapy

13

How long does postpartum depression last?

Few weeks-several months

14

What is postpartum depression associated with?

Hormonal changes
Tryptophan metabolism
Cell alterations

15

Symptoms of postpartum depression?

Fatigue, irritability
Loss of appetite
Sleep disturbances

16

What is mild depression symptoms similar to?

Those associated with normal grieving

17

What is moderate depression symptoms associated with?

Dysthymic disorder

18

What does severe depression symptoms include?

MDD and BP depression

19

What depression?:
-Affective: anger, anxiety
-Behavioral: tearful, regression
-Cognitive: preoccupied with loss
-Physiological: anorexia, insomnia

Mild depression

20

What depression?:
-Affective: Helpless, powerless
-Behavioral: Slowed physical movements, slumped posture, limited verbalization
-Cognitive: Retarded thinking processes, difficulity with concentration
-Physiological: Anorexia or overeating, sleep disturbances, headaches

Moderate depression

21

What depression?:
-Affective: Feelings of total despair, worthlessness, flat affect
-Behavioral: psychomotor retardation, curled up position, absence of communication
-Cognitive: Prevalent delusional thinking with delusions of persecution and somatic delusions; confusion; suicidal thoughts
-Physiological: A general slow down of the entire body

Severe depression

22

What are nursing diagnosis for depression?

-Depression risk for suicide r/t
-Depression low self esteem r/t
-Depression spiritual distress r/t

23

Depression risk for suicide r/t:

-Depressed mood
-Feelings of worthlessness
-Anger turned inward on the self
-Misinterpretations of reality

24

Depression low self-esteem r/t:

-Learned helplessness
-Feelings of abandonment by significant others
-Impaired cognition fostering negative view of self

25

Depression spiritual distress r/t:

-Complicated grieving process over loss of valued object evidenced by anger toward God, questioning meaning of existence, inability to participate in usual religious practices

26

An individual experienced the death of a parent two years ago. This individual has not been able to work since the death, cannot look at any of the parent’s belongings, and cries daily for hours at a time. Which nursing diagnosis most accurately describes this individual’s problem?

A. Posttrauma syndrome R/T parent’s death
B. Anxiety (severe) R/T parent’s death
C. Coping, ineffective, R/T parent’s death
D. Grieving, complicated, R/T parent’s death

D

27

What are signs the client is starting to cope well and overcome the depression?

-No physical harm to self
-Discusses loss with staff or family members
-No longer idealizes/obssess about the lost entity
-Realistic goals set
-Attempts new activities w/o fear of failure
-Able to identify aspects of self control over life situation
-Expresses personal satisification and support from spiritual practices
-Interacts willingly with outers
-Maintain reality orientation
-Concentrates, reasons, solves problems

28

What are some questions to ask during the evaluation stage?

1. Has self harm to client been avoided?
2. Does client know where to seek assistance outside hospital if sucidal thoughts occur again?
3. Has client discussed recent loss with staff and family members?