Depression

Question 1

What are some major depressive disorder classifications?

Answer 1

Single or reoccurring episodes for at least 2 weeks with at least 5 of the following clinical findings
-Depressed mood
-Difficulty of excessive sleeping
-indecisiveness
-Decreased concentration
-Suicidal ideation
-change in motor activity
-Anhedonia (pleasure)

Question 2

What is persistant Depressive disorder (dysthymia)?

Answer 2

A milder form of depression that last at least 2 years with 3 clinical finding from MDD.

Question 3

What is Bereavement Overload?

Answer 3

This is when a client is losing a lot of family and friends around them and typically happens in elderly patients.

Question 4

What are the four levels of depression?

Answer 4

-Transient depression
-Mild Depression
-Moderate Depression (dysthymic)
-Severe Depression

Question 5

What are three things you need to know which antidepressant medication?

Answer 5

-Medication can take up to 4 weeks to reach therapeutic potential.
-Do not discontinue medication abruptly
-Report Side Effects

Question 6

When is a client at the greatest risk for suicide during MDD?

Answer 6

During the first few weeks of the episode

Question 7

What are some risk factors for MDD?

Answer 7

Female, history of chronic medical condition, recent death in client family, family history of depression, personal history of anxiety

Question 8

What are some symptoms of serotonin syndrome?

Answer 8

Hallucinations, Diaphoresis, Agitation, confusion, tachycardia, seizures, N/V diarrhea, fever, hyperreflexia, delirium, disorientation

Question 9

What are some of the major classes of antidepressants?

Answer 9

SSRIs, MAOIS, SNRIs and tricyclics

Question 10

Why is 100% oxygen administered after ETC therapy for depression?

Answer 10

To prevent anoxia (severe hypoxia) resulting from medication-induced paralysis of respiratory muscles

Question 11

What position should the Patient be placed in after ETC therapy for depression?

Answer 11

They should be placed on there side to prevent aspiration.

Question 12

Define learned theory and give an example in the context of depression

Answer 12

When an individual experiences numerous failures and learns to give up trying for example multiple divorces, job loss and family loss that lead to depression and drug abuse.

Question 13

What medication have been approved by the FDA to treat depression in adolescents?

Answer 13

Escitalopram (Lexipro) and Fluoxetine (prozac)

Question 14

What is the function of a mini-metal status exam?

Answer 14

Determine weather a nuerocognitive issue is present

Question 15

What is the Hamilton depression rating scale?

Answer 15

This is scale that a nurse practitioner or other provider would use to assess a depressed client

Question 16

What are examples of self-rating scale relating to depression?

Answer 16

Zung depression scale and Beck depression inventory

Question 17

When taking a tricyclic antidepressant what is something that can decreased the overall effectiveness of the drug?

Answer 17

Smoking because it increases the metabolism of the drug