Mood Disorders
MDD, Dysthymia, PMDD, to name a few...
What are Depressive Disorders?
These are three first-line treatments for depression using an SSRI.
What are Sertraline (Zoloft), Escitalopram (Lexapro), Fluoxetine (Prozac)?
Known as the cardinal manifestation of the stress response.
What is Anxiety?
These things include asking "why questions", ignoring the patient, being uncomfortable with silence, superficial conversations, demonstrating disapproval, judging, lying, texting in the presence of the patient.
What are ineffective/inappropriate therapeutic techniques?
These variables are crucial in the assessment of the risk of suicide.
What are The Plan, The Method, the Provision for Rescue?
This acronym can be helpful in diagnosing depressive disorders.
What is SIGECAPS? (Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Suicide).
The major difference between an SSRI and SNRI.
What is the modification of the reuptake of Norepinephrine?
This disorder affects males more than females and runs in families.
What is Bipolar Disorder?
These therapeutic techniques foster problem solving and decision making for the patient.
What are: suggesting collaboration, encouraging goal setting, giving information, encouraging consideration of others, encouraging decisions, encouraging planning for future?
An unemployed white man, living alone, with a history of suicide attempt.
What is the prototypical suicide victim?
This type of medication is known as the most commonly written prescription in the US for adults 18-44 and includes Fluoxetine, duloxetine, and bupropion.
What are Anti-depressants?
This is a common Tricyclic Antidepressant.
What is Amitriptyline or Trazadone?
This is one nursing intervention for reducing anxiety in a patient.
What is:
Provide a calm environment, Get patient to ID how they are feeling, Encourage discussion of feelings, help ID cause of feelings, Listen carefully for hopelessness, assess for SI/HI, Plan and involve patients in a new activity?
This therapeutic communication skill requires careful concentration to guide the conversation toward a goal.
What is Listening?
Misuse of this substance puts a patient as the highest risk for attempting suicide.
What is Alcohol?
The average age of onset for bipolar disorder.
What is 18-20 years old?
These foods should avoided if taking MAOIs for depression treatment due to the potential for hypertensive crisis due to the food/drug interaction.
What are Tyramine-rich foods?
(Coffee, beers on tap, salami, bananas, aged cheeses, sauerkraut, soy sauce). See box 15-9 in book.
These drugs can cause Mania in patients with and without BPD.
What are Antidepressants, steroids, anticholinergics, stimulants, levodopa?
These are 5 common causes of interference with therapeutic communication.
What are fear, lack of knowledge, insecurity, not being genuine, and inappropriate responses?
The definition of Major Depressive Disorder, a risk factor for SI.
What is an episode of depression without a history of manic episodes?
These are three strategies for patients with bipolar disorder.
What are: keep a regular routine, eat meals at regular intervals, regular sleep routines, adequate sleep, involvement in activities/hobbies, taking medications as prescribed, be aware of triggers and signs of depression and/or mania?
Serotonin syndrome is comprised of these symptoms.
What are hyperthermia, rigidity, cognitive impairments, and autonomic symptoms?
These are key nursing interventions for a patient in a manic episode.
What are:
Be matter-of-fact with tone of voice, use clear directions and give clear comments, set limits with the patient (especially in groups)?
This is the difference between THERAPEUTIC communication and SOCIAL communication.
What is a PLAN and a PURPOSE?
These are the person-first terms for talking about suicide.
What are:
Patient at risk for suicide vs Suicidal patient
Patient who died by suicide vs Patient committed suicide
Patient who attempted suicide vs "cutter" "tried to OD" or "tried to kill themselves"