Epidemiology & more
The incidence of depression is higher in this gender.
What are females?
Research shows women have a higher incidence of monoamine oxidase, greater vulnerability to thyroid dysfunction, and hormonal changes. Also women have increased sensitivity to stress, multiple social roles, and poorer coping mechanisms.
This disorder lasts for at least 2 years.
What is dysthymia?
Dysthymia or persistent depressive disorder is a chronically depressed mood for most of the day, more often than not, for at least 2 years (1 yr for children and adolescents).
These cognitive symptoms are present in severe depression.
What are delusional thinking, confusion, indecisiveness, inability to concentrate, hallucinations reflecting misinterpretation of the environment, excessive self-blame, and thoughts of suicide.
What are avoiding alcohol, foods high in tyramine with MAOIs (cured meats, fermented foods, aged cheeses)?
This is an important side effect of SSRIs in the elderly.
What is hyponatremia?
There is evidence that depression is increasing in this age group, which is often dismissed by family members.
What are American teens, particularly adolescent girls?
This disorder includes a markedly depressed mood, excessive anxiety, mood swings, and decreased interest in activities during the week prior to menses.
What is premenstrual dysphoric disorder?
This level of crying would be present in transient depression.
What is some crying?
Transient depression subsides quickly, and the individual is able to refocus on other goals and achievements. Symptoms are not necessarily dysfunctional; in fact they may be considered part of the broad range of typical human emotional responses that accompany everyday disappointments.
This drug class is the first line class for depression.
What are SSRIs?
The patient in this stage of depression is eligible for group therapy.
This rate among men increases with age.
What is suicide risk?
This disorder is characterized by a depressed mood or loss of interest or pleasure in doing usual activities for at least 2 weeks, no history of mania, and symptoms are not attributed to substance use or a medical condition.
What is MDD?
The patient who does this may feel that their antidepressant is not as effective as it once was.
What is smoking?
Smoking could affect the metabolism of TCAs.
The nurse would monitor a patient for this neuromuscular symptom of serotonin syndrome.
What is myoclonus?
What is an indirect statement in reference to suicide?
This gender succeeds more often in completing suicide.
What are men?
More women than men attempt suicide but men succeed more often (about 70 percent of men and 30 percent of women).
A traumatic brain injury, thyroid disorder, or multiple sclerosis causes this disorder.
What is a depressive disorder due to another medical condition?
This rating scale is used to assess depressed clients, with a score over 40 indicating severe depression.
What is the Hamilton Depression Rating Scale?
These medications are used to control obsessions.
What are SSRIs?
Identify essential components of a safety plan upon discharge of a suicidal patient.
What are recognizing warning signs that precede suicide crises, identifying and employing internal coping strategies, identifying supportive family members and friends, and problem-solving with the patient ways to reduce the potential for access to and use of lethal means?
This gender is at highest risk for suicide.
What are Whites, followed by American Indians/Alaska Natives, African Americans, Hispanic Americans, and Asian Americans?
This disorder is characterized by irritability, loss of libido, sleep disturbances, and concern about the inability to care for baby.
What is moderate postpartum depression?
Feeling best early in the morning and continually worse as the day progresses ALONG with chest pain, abdominal pain, or headaches is a sign of this type of depression.
What is moderate depression?
Feeling best early in the morning...may also occur in severe depression as this may reflect the diurnal variation in the level of neurotransmitters that affect mood but there is a general slowdown of the entire body where aches, etc would not be typical symptoms.
Patients can be given a three month supply of Zoloft without significant safety concerns.
True. In most cases, sertraline or Zoloft is when taken alone, is not as fatal as other classes of antidepressants.
A paradoxical suicide is called this.
When a patient regains the energy needed to carry out their plan.