Depression
The outward expression of one's mood, which may be described as flat or blunted in patients with depression.
What is affect?
At this level of anxiety, individuals may experience loss of contact with reality and physical or emotional exhaustion.
What is panic-level anxiety?
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 compensatory behavior seen in bulimia nervosa can result in tooth enamel deterioration.
What is purging (via emesis)?
This therapy has demonstrated effectiveness in the treatment of depression, anxiety, eating disorders, and numerous other disorders and involves helping the individual to change dysfunctional thinking patterns.
What is Cognitive Behavioral Therapy (CBT)?
Criteria that must be met for a nurse to administer medication without patient consent during an emergency.
What is "If the patient is a risk to themselves or others"?
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 non-pharmacological intervention can be taught and reinforced by nurses to reduce anxiety, and involves developing neutral awareness of one's thoughts, feelings, and bodily sensations in the moment.
What is mindfulness?
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
These psychological factors have been associated with increased risk for developing an eating disorder (name two).
What is: perfectionism, anxiety, low self-esteem, emotional dysregulation, impulsivity, and/or trauma.
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)?
This legal process can occur only when an individual is deemed to be a danger to themselves or others as a result of their psychiatric illness.
What is civil commitment OR what is involuntary hospitalization?
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?
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?
This phenomenon is characterized by the craving for and ingestion of non-nutritive, non-food substances such as clay or starch.
What is pica?
This medication targets the somatic symptoms of anxiety and is indicated for use with social anxiety disorder, particularly public speaking.
What is propranolol?
In this theoretical perspective of grief an individual is described as moving through 5 stages.
What is Kubler-Ross Stages of Grief?
In this portion of a holistic assessment, the nurse asks the patient to identify their coping strategies, support systems, and other things that have helped them deal with depressive feelings in the past.
What is a strength assessment?
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?
Severe electrolyte imbalances as a result of purging may result in this potentially fatal complication.
What are cardiac dysrhythmias?
This class of medications has evidence to support their use in the treatment of eating disorders, particularly bulimia nervosa.
What are selective-serotonin reuptake inhibitors (SSRIs)
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?
Nurses should be aware that the symptoms of this physiological 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?
These interventions are considered to be the most restrictive within the inpatient setting, and are only utilized when less restrictive interventions have been attempted but were unsuccessful.
What are seclusion and restraint?
This type of behavior can be anticipated when adolescents experience bereavement.
What are acting out behaviors?
or
What are withdrawing / isolating behaviors?