Random Facts
This treatment for depression involves a brief electrical stimulation of the brain while the patient is under anesthesia and typically has 6 to 12 treatments.
What is Electroconvulsive Therapy (ECT)?
This term describes “absence of interest and pleasure,” and is a common symptom of major depression.
What is "anhedonia?"
Fluoxetine (Prozac), Sertraline (Zoloft), and Escitalopram (Lexapro) are examples of what class of psychiatric medications?
What is "Selective Serotonin Reuptake Inhibitors" (SSRIs)?
When you eat tyramine-containing foods when taking Monoamine Oxidase Inhibitors (MAOIs), you can have this reaction.
What is a hypertensive crisis?
This treatment can be used when patient is suicidal, homicidal, refusing food, agitated, or not responding to medication.
What is Electroconvulsive Therapy (ECT)?
When is a patient with MDD that is taking antidepressant medications at highest risk for suicide?
What is "after antidepressants take effect?"
A symptom of depression where the patient has absence of outward emotional expression.
What is "flat affect?"
Phenlazine, tranylcypromine, isocarboxazid, and selegiline are examples of what class of psychiatric medications?
What are "Monoamine Oxidase Inhibitors" (MAOIs)?
This is an FDA black-box warning that all antidepressants carry.
What is an increased risk of suicidality in children, adolescents, and young adults?
Your patient who is diagnosed with MDD is given a nursing diagnosis of “risk for suicide related to grief and hopelessness.” List one nursing intervention that would apply to this patient.
Create a safe environment for the client, remove all potentially harmful objects from the patient’s access, supervise closely during meals and medication administration, perform room searches as deemed necessary.
This type of depressive disorder includes markedly depressed moods, excessive anxiety, mood swings, and decreased interest in activities during the week prior to menses, improves shortly after the onset of menstruation, and becomes minimal or absent in the week postmenses.
What is "Premenstrual Dysphoric Disorder?"
To be diagnosed with Major Depressive Disorder (MDD), the patient must experience symptoms for at least this length of time.
What is two weeks?
Bupropion (Wellbutrin), Mirtazapine (Remeron), and Trazodone are examples of what class of antidepressant medications?
What are "Atypical Antidepressants?"
What is a potentially fatal syndrome of serotonin overstimulation with rapid onset that progresses from diarrhea, restlessness, and agitation to seizures, muscle rigidity, coma and even death?
What is "Serotonin Syndrome?"
This is the goal of cognitive behavioral therapy with depressed patients.
What is "identify and change dysfunctional patterns of thinking?"
What is the goal of cognitive behavior therapy with depressed patients?
What is "identify and change dysfunctional patterns of thinking?"
This term is defined as the “inability to independently complete ADLs”.
What is "self-care deficit?"
Name 3 types of foods that patients taking Monoamine Oxidase Inhibitors (MAOIs) should not consume.
What are...
strong or aged cheeses, cured meats, smoked/processed meats, pickled or fermented foods, soybean products, dried/overripe fruits, foods containing yeast, wine, beer, liqueur, beverages containing caffeine?
Anticholinergic side effects (dry mouth, blurred vision, urinary retention, constipation) are commonly associated with this class of medications used to treat depression.
What is tricyclic antidepressants?
What is the primary goal of psychotherapy in the treatment of Major Depressive Disorder?
A) To identify and challenge negative thought patterns
B) To improve sleep hygiene
C) To provide emotional support and validation
What is to identify and challenge negative thought patterns?
Three risk factors that increase the incidence of depression.
What are...
Single or divorced people, Post-partum, Physical illness, Family dysfunction, Family history of depression, Bullying/academic difficulties, Exposure to trauma, Seasonal changes
Individuals with severe depression often complain of feeling worse at this time of day?
What is in the morning?
What is important for a patient to avoid when taking tricyclic antidepressants, as it can increase the drug metabolism and require adjustment in dosage to achieve the therapeutic effect?
Which of the following is NOT a potential side effect of antidepressant medication?
A) Weight gain
B) Sexual dysfunction
C) Increased energy
What is increased energy?
What is the most common symptom of Major Depressive Disorder?
A) Rapid mood swings
B) Feelings of sadness and hopelessness
C) Excessive sleepiness
What is feelings of sadness and hopelessness?