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NUR 162 ( LATEST 2024 / 2025 ) FINAL EXAM 1 | A++ EXAM WITH ALL NEW QS & AS - GUARANTEED PASS!
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NUR 162 ( LATEST 2024 / 2025 ) FINAL EXAM 1 | A++ EXAM WITH ALL NEW QS & AS - GUARANTEED PASS!
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NUR 162 FINAL EXAM 11. mood/affective disorders
Answer
Pervasive alterations in emotions manifested by de- pression, mania, or both
Interference with life; long-term sadness, agitation, or elation
2. Etiology of Mood Disorders
Answer
Neurotransmitters
Decline in serotonin and norepinephrine
Cognitive
Negative thoughts and rumination (can't let something go) + negative self-talk
Social Skills
Lack of interpersonal skills
3. Major Depressive Disorder (MDD)
Answer
last at least 2 years
symptoms
-depressed mood or loss of pleasure in nearly all activities
-changes in eating hypersomnia/insomnia
-impaired concentration
-inability to cope pessimistic thinking
MAOI, SSRIs, atypical
4. mania
,Answer
distinct period during which mood is abnormally and persistently elevated, expansive, or irritable.
Typically, this period lasts about 1 week
5. S/S of mania
Answer
-inflated self-esteem or grandiosity;
-decreased sleep
-excessive and pressured speech (unrelenting, rapid, often loud talking without pauses)
-flight of ideas (racing, often unconnected, thoughts)
-distractibility; increased activity or psychomotor agitation
-excessive involvement in pleasure-seeking or risk-taking activities with a high potential for
painful consequences.
6. Hypomania
Answer
period of abnormally and persistently elevated, expansive, or irritable mood and some other
milder symptoms of mania.
do not impair the person's ability to function
no psychotic features (delusions/hallucinations)
7. SSRIs (selective serotonin reuptake inhibitors)
Answer
fluoxetine, sertraline, paroxetine, citalopram, escitalopram
blocks reuptake of serotonin Common SE when resolved
insomnia decreases in 3 to 4 days, appetite returns to a more normal state in 5 to 7 days, and
energy returns in 4
8. Fluoxetine /Prozac-SSRI
Answer
,Monitor for rash, hives, tremor, insomnia, headache, anxiety, drowsiness, nausea, loss of
appetite; avoid alcohol, slightly higher rate of mild agitation
-Monitor for hyponatremia.
9. Sertraline (Zoloft) SSRI
Answer
SE
Dizziness, sedation, tremor, sexual dysfunction, diarrhea, dry mouth, N/V, diarrhea, headache,
insomnia, loss of appetite, and sweating
-avoid alcohol, manic episode (can worsen)
-Monitor hyponatremia
10. Paroxetine (Paxil) SSRI
Answer
SE
Dizziness, sedation, insomnia weakness, fatigue, dry mouth, loss of appetite, N/V, sexual
dysfunction, and sweating
-avoid alcohol
-Administer with food.
11. Citalopram (Celexa) SSRI
Answer
SE Drowsiness, insomnia, N/V, weight gain
-Monitor for hyponatremia.
-Administer with food.
-Administer the dose at 6 p.m. or later.
12. Escitalopram (Lexapro) SSRI
Answer
Drowsiness, dizziness, weight gain, sexual dys- function, restlessness, dry mouth, headache,
, nausea, and diarrhea
-Check orthostatic blood pressure.
-Administer with food.
13. TCAs (tricyclic antidepressants)
Answer
Amitriptyline (Elavil), imipamine, disipramine, nortriptlyine, doxepin
blocks activity of NE and serotonin or increasing sensitivity of postsynaptic receptor site
They relieve symptoms of hopelessness, helplessness, anhedonia, inappropriate guilt, suicidal
ideation, and daily mood variations
not for liver impairment or recovery MI cannot be given with MAOIs
take4- 6 weeks for full effect but 10-14 days for some effect
common SE
dry mouth, orthostatic hypotension, tachycardia, insomnia, constipation, weight gain
14. Atypical Antidepressants
Answer
Used when the client has an inadequate response to or side effects from SSRIs
inhibit reuptake of NE, serotonin and dopamine monitor kidney and liver function
bupropion, mirtazapine, duloxetine, venlafaxine,
15. Venlafaxine (Effexor)
Answer
blocks the reuptake of serotonin, norepinephrine, and dopamine (weakly)
SE
Increased blood pressure and pulse, nausea, vomiting, headache, dizziness, drowsiness, dry
mouth, and sweating; can alter many lab tests, e.g., AST, ALT, alkaline phosphatase, creatinine,
glucose, and electrolytes
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