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Rasmussen: Mental Health Exam 2 Study Guide
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Rasmussen: Mental Health Exam 2 Study Guide
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Rasmussen:Mental
Health
Exam
2
Study
Guide
What
are
the
common
symptoms
of
Depression?
-
ANSWER-1.
Anergia
-
lack
of
energy
2.
Feelings
of
worthlessness
3.
Lack
of
self-esteem
4.
Guilt
5.
Helplessness
6.
Hopelessness
7.
Anger
and
irritability
8.
Changes
in
eating
patterns
9.
Changes
in
sleep
patterns
10.
Insomnia
or
hypersomnia
11.
Changes
in
bowel
habits
(constipation)
12.
No
interest
in
sex
13.
Chronic
pain
14.
Lack
of
concentration
15.
Indecisiveness
Beck's
Cognitive
Triad
(p.
199)
-
ANSWER-Beck
believed
that
three
automatic
negative
thoughts
(cognitive
triad)
is
responsible
for
the
development
of
depression.
What
are
the
three
negative
thoughts
of
Beck's
Cognitive
Triad?
-
ANSWER-1.
A
negative,
self-deprecating
view
of
self:
"I
really
never
do
anything
well;
everyone
else
seems
smarter."
2.
A
pessimistic
view
of
the
world:
"Once
you're
down,
you
can't
get
up.
Look
around,
poverty,
homelessness,
sickness,
war,
and
despair
are
every
place
you
look." 3.
The
belief
that
negative
reinforcement
(or
no
validation
for
the
self)
will
continue:
"It
doesn't
matter
what
you
do;
nothing
ever
gets
better.
I'll
be
in
this
stupid
job
the
rest
of
my
life."
What
questions
should
you
ask
to
assess
for
the
risk
of
suicide?
-
ANSWER-1.
Ask
directly
-
"Are
you
thinking
of,
or
have
you
been
thinking
of
killing
yourself?"
2.
Ask
if
the
person
has
a
plan
-
"When
you
think
about
suicide,
do
you
have
a
way
that
you
might
do
this?"
3.
Determine
the
lethality
of
the
plan
(How
detailed
is
the
plan?
How
lethal
is
the
proposed
method?
Does
the
person
have
a
gun?)
4.
Gather
information
about
risk
factors
(patient's
age,
sex,
medical
problems,
psychiatric
problems,
unemployment,
lives
alone)
5.
Is
there
is
a
history
of
a
suicide
attempt?
6.
Consult
with
one
or
more
professionals
and
collaboratively
develop
a
safety
plan
7.
If
outpatient,
assess
the
following
-
Is
there
someone
that
can
stay
with
the
patient?
Does
the
significant
other
have
knowledge
of
the
signs
of
potential
suicidal
ideation?
Is
there
a
provision
of
safety
resources?
High
level
of
risk
-
ANSWER-Risks/
Protective
factor:
-
Psychiatric
disorder
with
severe
symptoms
of
acute
precipitating
event
protective
factors
not
relevant
Suicidality:
-
Potentially
lethal
suicide
attempt
or
persistent
ideation
with
strong
intent
or
suicide
rehearsal
Possible
Interventions:
-
Admission
generally
indicated
unless
a
significant
change
reduces
risk.
Suicide
precautions Moderate
risk
level
for
suicide
-
ANSWER-Risks/
Protective
factor:
-
Multiple
risk
factors,
few
protective
factors
Suicidality:
-
Suicidal
ideation
with
plan,
but
no
intent
or
behavior
Possible
Interventions:
-
Admission
may
be
necessary
depending
on
risk
factors.
Develop
crisis
plan.
Give
emergency/crisis
numbers
Low
level
of
risk
for
suicide
-
ANSWER-Risks/
Protective
factor:
-
Modified
risk
factors,
strong
protective
factors
Suicidality:
-
Thoughts
of
death,
no
plan,
intent
or
behavior
Possible
Interventions:
-
Outpatient
referral,
symptom
reduction.
Give
emergency/
crisis
numbers
what
are
the
most
popular
antidepressants?
-
ANSWER-SSRIs
What
medications
are
Selective
serotonin
reuptake
inhibitors
(SSRIs)
(Can
Lucy
Play
Like
Pal
Zoe)?
-
ANSWER-Celexa,
Lexapro,
Prozac,
Luvox,
Paxil,
Zoloft
Citalopram
(Celexa)
Escitalopram
(Lexapro)
Fluoxetine
(Prozac)
Paroxetine
(Paxil,
Pexeva)
Sertraline
(Zoloft)
Vilazodone
(Viibryd)
What
are
the
side
effects
of
SSRIs?
-
ANSWER-1.
A
headache
2.
Nausea
3.
Sleeplessness
4.
Tremors
or
dizziness
5.
Sexual
problems
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