Rasmussen: Mental Health Exam 2 Study Guide With Complete Solutions!!
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Rasmussen: Mental Health
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Rasmussen: Mental Health
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...
Rasmussen: Mental Health Exam 2
Study Guide With Complete Solutions!!
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
What are the side effects of SSRIs? - ANSWER-1. A headache
2. Nausea
3. Sleeplessness
4. Tremors or dizziness
5. Sexual problems
6. Agitation, jitteriness, nervousness
7. Serotonin syndrome
8. Suicidal ideation
9. Weight gain
What are the tricyclic antidepressants (ends in "il)? - ANSWER-1. Elavil
2. Anafranil
3. Norpramin
4. Sinequan
5. Tofranil
6. Ludiomil
7. Vivactil
8. Surmontil
9. Asendin
What are the side effects of tricyclic antidepressants? - ANSWER-1. Anticholinergic
side effects: Dry mouth, constipation, urinary retention, blurred vision
2. Drowsiness
3. Sexual problems
What medications are MAOIs? - ANSWER-Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Emsam)
Tranylcypromine (Parnate)
What are the common side effects of MAOIs? - ANSWER-1. Hypotension
2. Sedation, weakness, fatigue
3. Insomnia
4. Changes in cardiac rhythm
5. Muscle cramps
6. Sexual impotence
7. Urinary hesitancy or constipation
8. Weight gain
When are MAOIs used? - ANSWER-Used in depressions that are resistant to other
medications and treatments.
What are patients at risk for when taking MAOIs? - ANSWER-Hypertensive crisis
What are the symptoms of an MAOI hypertensive crisis? - ANSWER-1. A severe
headache
2. Stiff, sore neck
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