Depressive Disorders
Pervasive and sustained emotion that colors one's perception of the world and how one functions in it.
What is Mood?
Although other neurotransmitters have also been implicated in the pathophysiology of anxiety, serotonin, norepinephrine and this neurotransmitter appear to be most significant.
What is GABA?
This acute phenomenon is characterized by a specific precipitating factor, is personal in nature and has the potential for psychological growth or deterioration.
What is a crisis?
This phenomenon is characterized by the craving for and ingestion of non-nutritive, non-food substances such as clay or starch.
What is pica?
In an emergency, a patient may be treated without their consent in what situations?
If they are a risk to themselves or others
Symptoms of depression in this age group often have a somatic focus and may often go undetected or under treated.
What are older adults?
or
What are adolescents?
At this highest level of anxiety, individuals may experience loss of contact with reality and physical or emotional exhaustion.
What is Panic Level Anxiety?
Name 1 demographic factor and 1 individual factor related to increased risk for suicide.
Demographic: Nonmarried, male, non religious and being between ages 45-64
Individual: a previous suicide attempt, substance use or comorbidities with other mental health disorders
Biological, Social and Psychological factors are implicated in the ___________ of eating disorders.
What is the etiology of eating disorders?
This treatment, which can be used to treat severe or treatment resistant depression, suicidality, psychosis and catatonia involves the use of brief electrical currents through the brain to induce seizure.
What is Electroconvulsive Therapy (ECT)?
Outward expression of an individual's mood.
What is Affect?
Repetitive ritualistic behaviors or mental acts that the individual feels driven to perform to reduce the anxiety associated with obsessive thoughts.
What are compulsions?
This type of plan is an agreement between the client and treatment team to manage suicidal ideation and should be made when the patient is not in active crisis
What is a safety plan?
Severe electrolyte imbalances as a result of purging may result in this potentially fatal complication.
What are cardiac dysrhythmias?
In this theoretical perspective of grief an individual is described as moving through 5 stages.
What is Kubler-Ross Stages of Grief?
This validated tool is commonly used to screen for depression and may be self-administered or administered by a member of the health care team.
What is the PHQ-9?
!!!! DAILY DOUBLE !!!!!
A commonly used pneumonic for remembering the symptoms of depression.
This disorder involves fear of public transport, open or enclosed spaces, crowds and/or being outside the home with the fear being that escape may be difficult or help may be unavailable if panic like symptoms occur.
What is Agoraphobia?
Asking the patient "Are you currently thinking of killing yourself?" and "Do you have a plan?" are examples of this.
What is assessing suicide risk?
This compensatory behavior seen in bulimia nervosa can result in tooth enamel deterioration.
What is purging (via emesis)?
This type of session is used to review an event, process feelings and address any harm or distress by the individuals involved.
What is debriefing?
It is important that physical causes for symptoms of depression are ruled out. The symptoms of this physical disorder can often look like depression and vice versa.
What is hypothyroidism?
A panic attack is a single episode involving an overwhelming feeling of terror or impending doom that occurs suddenly and involves at least 4 of these symptoms.
What are sweating, shaking, trembling, shortness of breath, chest pain, palpitations, pounding heart rate, nausea or abdominal distress, dizziness, chills, hot flashes, numbness, tingling sensations, derealization, depersonalization, fear of losing control or going crazy, and/or fear of dying.
Name 3 signs that the nurse would identify that would suggest escalating anger and/or aggression.
What are patient behaviors such as yelling and shouting, property destruction, clenched fists and an angry expression.
Peripheral edema, hypothermia, bradycardia, amenorrhea and the development of lanugo can be associated with this disorder.
What is anorexia nervosa?
This type of behavior can be anticipated when adolescents experience bereavement.
What are acting out behaviors?
or
What are withdrawing / isolating behaviors?