NURA305 Exam 2 Questions and Answers
Define depression - Answer-mental state characterized by sadness, loss of interest, feelings of guilt, disturbed sleep or appetite, low energy, and poor concentration
What are risk factors of depression? - Answer--prior episode
-family history
-lack of so...
Define depression - Answer-mental state characterized by sadness, loss of interest,
feelings of guilt, disturbed sleep or appetite, low energy, and poor concentration
What are risk factors of depression? - Answer--prior episode
-family history
-lack of social support
-lack of coping abilities
-presence of life and environmental stressors
-current substance use or abuse
-medical/mental illness
Describe the epidemiology of depression - Answer--ages 18-29 have a higher
prevalence than ages 65 and older
-lasts more than 6 months
-females have a higher prevalence
-less prevalent in african americans
What are safety issues for depression? - Answer-suicide risk should be routinely
conducted
What are physical health changes for depression? - Answer--decrease/increase in
appetite
-insomnia
-always feeling tired
PTSD
Common side effect & intervention - Answer-Dry mouth
Sugarless gum
Sugarless lozenges
Toothpaste for dry mouth
What are the medications used most often for PTSD? - Answer-SSRIs, SNRIs, NDRI
Which medications are used less often for PTSD? - Answer-MAOI & TCAs
Which antidepressant tends to be safer for PTSD? - Answer-SSRIs (fewer side effects)
, What are some complications with PTSD treatment? - Answer-Suicidality
-TCAs are mentioned in a "black box" warning due to increased risk of suicide in
children, adolescents, and young adults
-MAOIs are most lethal
-SSRIs are least lethal
-TCAs should not be prescribed for patients at suicide
What should you avoid when taking antidepressants for PTSD? - Answer-Avoid alcohol
because SSRIs metabolize in the liver
What should not be given while taking an MAOI? - Answer-Bupropion
What should not be consumed while taking trazodone? - Answer-Grapefruit
SSRI - Fluoxetine - Education points - Answer--Primary goal is symptom reduction
-do not abruptly stop taking
-common side effects are orthostatic hypotension & serotonin syndrome
MAOI - Phenelzine - Answer-do not eat foods containing tyramine such as hard
cheeses, wine, beer, etc.
Define bipolar I disorder - Answer-the client has at least 1 episode of mania alternating
with major depression
Define bipolar II disorder - Answer-the client has at least 1 or more hypomanic episodes
alternating with major depression
Define cyclothymic disorder - Answer-the client has at least 2 years of repeated
hypomanic manifestations
What medication is used to treat bipolar disorder? - Answer-Mood stablizers
What is the gold standard treatment for bipolar I disorder? - Answer-Lithium
What is a common side effect of lithium & interventions? - Answer-Metallic taste
Define agoraphobia - Answer-fear of open spaces
Define de-personalization - Answer-individual loses a sense of personal identity
Define exposure therapy - Answer-treatment for agoraphobia
patient is repeatedly exposed to anxiety-provoking situations until the client becomes
desensitized
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