Flashcards in T1-Depressive Disorders Deck (28):
What are symptoms of depression in a child younger than 3?
Lack of playfulness and emotional expressiveness
What are symptoms of depression in ages 3-5?
Prone to accidents
What are symptoms of depression in 6-8 year olds?
What are symptoms of depression in 9-12 year olds?
What is the focus of therapy when treating depressed children?
Alleviate symptoms and strengthen coping skills
What are symptoms of depression in adolescence?
-Sexual acting out
What is the best clue that differentiates depression from normal, stormy adolescent behavior?
A visible manifestation of BEHAVIORAL CHANGE THAT LASTS SEVERAL WEEKS
What is the most common precipitant to adolescent suicide?
Perception of abandonment by parents or close peer relationship
How are depressed adolescents treated?
Supportive psychosocial intervention
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!!!
What is senescence?
-High % of suicides among ELDERLY
-Symptoms of depression confused with symptoms of neurocognitive disorder
How do we treat senescence?
How long does postpartum depression last?
Few weeks-several months
What is postpartum depression associated with?
Symptoms of postpartum depression?
Loss of appetite
What is mild depression symptoms similar to?
Those associated with normal grieving
What is moderate depression symptoms associated with?
What does severe depression symptoms include?
MDD and BP depression
-Affective: anger, anxiety
-Behavioral: tearful, regression
-Cognitive: preoccupied with loss
-Physiological: anorexia, insomnia
-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
-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
What are nursing diagnosis for depression?
-Depression risk for suicide r/t
-Depression low self esteem r/t
-Depression spiritual distress r/t
Depression risk for suicide r/t:
-Feelings of worthlessness
-Anger turned inward on the self
-Misinterpretations of reality
Depression low self-esteem r/t:
-Feelings of abandonment by significant others
-Impaired cognition fostering negative view of self
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
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
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