Chapter 23 - Depression

Question 1

Blunt Affect

Answer 1

blank stare

Question 2

Affect is __

Answer 2

Objective

Question 3

Mood is __

Answer 3

subjective

Question 4

Flat affect

Answer 4

Long fact

Question 5

Inappropriate affect

Answer 5

happy on a sad day

Question 6

Bright affect

Answer 6

smiling, projection of a positive attitude

Question 7

Labile affect

Answer 7

happy one minute angry the next

Question 8

Restricted/Constricted affect

Answer 8

sad, distraught, grief

Question 9

What other bodily things may be the cause of depression symptoms?

Answer 9

Thyroid
Liver
Pancreas
Infection (UTI)

Question 10

Atypical sign of depression

Answer 10

Overeating

Question 11

Neurovegetative symptoms

Answer 11

Appetite, weight, tiredness, decreased energy, fatigue, sleep disturbance

Question 12

What would depression mostly likely look like in a child?

Answer 12

Aggression, acting out, HA, Abd pain, isolation, irritable

Question 13

When an older adult is depressed the symptoms are commonly confused with which other illness?

Answer 13

Dementia

Question 14

Diagnosis Criteria: ___ or __ last longer than ___

Answer 14

Depressive mood or loss of interest in activity for at least 2 weeks

Question 15

Priority intervention for depression

Answer 15

Safety and assessment of suicide risk

Question 16

Med to Tx Depression

Answer 16

SSRI
SNRI
Cyclic antidepressants
MAOIs

Question 17

Other interventions for depression

Answer 17

Electroconvulsive therapy (ECT)
Light therapy
Repetitive transcranial Magnetic Stimulation

Question 18

SSRI

If it does not have an “x” or “z” it does not belong in this class

Answer 18

Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Fluvoxamine (Luvox)
Citalopram (Celexa)
Escitalopram (Lexapro)

Question 19

SNRI

Cymbals pristine effective to wake me up

Answer 19

Duloxetine (Cymbalta)
Desvenlafaxine (Pristiq extended release)
Venlafaxine (Effexor XR)

Question 20

TCAs

Answer 20

Fatal in overdose

Sedation and weight gain

Question 21

MAOIs

NPM: Not Popular Meds →

Answer 21

Nardil Parnate, Marplan & Ensam

Question 22

First line defense med for depression

Answer 22

SSRI

Question 23

True/False: A pt just starting out on their antidepressant medication is not a risk for suicide

Answer 23

False, the pt. now has more energy to be able to carry out suicide. Most at risk 2 week after starting new medication

Question 24

What is a major complication of MAOI use?

Answer 24

Hypertensive crisis

Question 25

Pt. with depression has palpitations, N/V, Irritability, restlessness. What does then nurse suspect? What is Tx?

Answer 25

Hypertensive crisis | Medical emergency: nitro, ice packs

Question 26

Priapism

Answer 26

Medical emergency | erection last longer than 4 hours

Question 27

Pt with depression has ataxia, mental status change, fever, diaphoresis, abd pain, tachycardia, hyperreflexia. What does the nurse suspect?

Answer 27

Serotonin Syndrome

Question 28

Disruptive mood dysregulation begins before age:

Answer 28

10

Question 29

Premenstrual Dysphoric S&S

Answer 29

recurring mood swings, feelings of sadness, or sensitivity

Question 30

Persistent depressive (Dysthimia) last more than __ for adults and __ for children

Answer 30

2 years for adults | 1 year for children

Question 31

Bupropion (Wellbutrin) is what drug class?

Answer 31

NDRI | Tx for anxiety disorders

Question 32

Bupropion (Wellbutrin) Syptmoms

Answer 32

weight loss

Question 33

SSRI sypmtoms

Answer 33

``` GI distress Sedation Anticholinergic effects Sexual dysfunction Agiation ```

Question 34

MAOI sypmtoms

Answer 34

Sleep disturbance | Orthostatic Hypotension