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Exam 3: NURS 623/ NURS623 (Latest 2024/ 2025 Update) Adult/ Gerontology Health Care II Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville $10.99   Add to cart
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Exam 3: NURS 623/ NURS623 (Latest 2024/ 2025 Update) Adult/ Gerontology Health Care II Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville
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Exam 3: NURS 623/ NURS623 (Latest 2024/ 2025 Update) Adult/ Gerontology Health Care II Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville Q: Major depressive disorder Answer: Characteristics •Severe negative change in mood, thinking, and behavior •Severity •W...

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  • October 2, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nurs623nurs 623 maryville adult 2 exam
  • nurs623nurs 623 maryville adult 2 exam 1
  • nurs623nurs 623 maryville adult 2 exam 2
  • nurs623nurs 623 maryville adult 2 exam 3
  • nurs623nurs 623 maryville adult 2 exam

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  • NURS 623/ NURS623
  • NURS 623/ NURS623

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ExamI3:INURSI623/INURS623I(LatestI2024
/I2025IUpdate)IAdult/IGerontologyIHealthI
CareIIIIGuideI|IQsI&IAs|I100%ICorrect|I
GradeIAI(VerifiedIAnswers)-IMaryville

Q:IMajorIdepressiveIdisorder


Answer:
Characteristics
•SevereInegativeIchange
inImood,Ithinking,Iand
behavior
•Severity
•WithIorIwithoutIsuicideIidealization

Epidemiology
•5-20%IofIpopulation
•AdultsI>65I(30-40%)
•HighIrateIforIrecurrence
•WomenI>IMen
•8-19%Ihospitalized
•1IoutIofI7Isuicide
•Co-morbidIanxiety,IcardiacIandIdiabetes




Q:IDifferentialIdiagnosisIforImajorImoodIdisorder


Answer:
ThyroidIdisorder
•SleepIdisorder

,•UnrecognizedIbipolar
•Neurological
•Medications
•SubstanceIuse
•AdrenalIfunctioning




Q:IClinicalIfeaturesIofIMajorIdepressiveIdisorder


Answer:
TheIDSM-
5IsymptomIcriteriaIforImajorIdepressionIstateIthatIfiveI(orImore)IofItheIfollowin
gIsymptomsIhaveIbeenIpresentIduringItheIsameI2-
weekIperiodIandIrepresentIaIchangeIfromIpreviousIfunctioning.
AtIleastIoneIofItheIsymptomsIisIeitherI(1)IdepressedImoodIorI(2)Ianhedonia,Ime
aningIlossIofIinterestIorIpleasure:

•IDepressedImoodIexpressedIasIfeelingsIofIsadnessIorIhopelessness.IIrritabilityIm
ayIbeItheIprimaryIsymptomIinIadolescentsIandIchildren.
•IMarkedlyIdiminishedIinterestI(apathy)IinImostIactivities.
•IChangeIinIappetite.
•IInsomniaIorIhypersomnia.
•IBehavioralIagitationIorIretardation.
•ILossIofIenergy.
•IFeelingsIofIworthlessnessIorIguilt.
•ILossIofIconcentration.
•IRecurrentIthoughtsIofIdeathIorIsuicide.
•ITheseIsymptomsIcauseIsignificantIfunctionalIimpairmentIandIareInotIrelatedItoI
aImedicalIillnessIorIfromItheIeffectsIofIaIsubstance.




Q:IRiskIfactorIforImajorIdepression

,Answer:
Age:IAdolescentIorIolderIadult
Gender:IFemale
FamilyIHistory:IStrongIfamilyIhistoryIofIdepression,IsuicideIorIattempt,IalcoholI
abuse,IorIotherIsubstanceIabuse
History:IHistoryIofImigraineIheadaches,IbackIpain,IrecentImyocardialIinfarction,I
and/orIpepticIulcerIdisease

CurrentIMedicalICondition:ICurrentIchronicIdiseaseI(especiallyImultipleIdiseases
)
Lifestyle:IInsomniaIStressIPovertyILessIthanIhighIschoolIeducationIRecentItraum
aticIeventIParentIorIcaregiverIofIaIchildIorIchildrenIwithIbehavioralIdisorders,Ies
peciallyIhyperactivityIRetired




Q:IWhatIareItheIcommonIpresentingIsymptomsIofIdepressionIinItheIgeriatricIpa
tient?


Answer:
•Vegetative—poorIappetite,IdisruptedIsleep,IearlyImorningIawakening

•Somatic—painIthroughoutIbodyIorIoutIofIproportionIwithIunderlyingIpathologyI

•Psychological—
obsessiveIfeelingsIofIguiltIandIworry,IruminationsIthroughoutItheInight;IsuicidalI
ideation;ImemoryIproblems

•Psychomotor—Ianxiety;IpsychomotorIagitation

•DiurnalIvariationIinIsymptoms—
cannotI"getImoving"IinImorning,IorIspecificItimeIofIdayIwhenIdepressionIisIwor
st

, Q:IpharmacologicItreatmentIforImajorIdepressiveIdisorder


Answer:
SelectiveISerotoninIReuptakeIInhibitorsI(SSRIs)

AdviseIpatientsIthatIantidepressantIeffectImayItakeIfromI4ItoI8IweeksI(upItoI12I
weeks)ItoImanifest.
SSRIsIareIalsoIfirst-
lineItherapyIforIelderlyIpatientsIbecauseItheyIhaveIfewerIsideIeffects

*Contraindications
AvoidISSRIsIwithinI14IdaysIofItakingIanIMAOII(serotoninIsyndrome)

·IFluoxetineI(Prozac):ILongestIhalf-
lifeIofIallISSRIsIandItheIfirstISSRII(usefulIforInoncompliantIpatients)
·IParoxetineI(Paxil):IShortestIhalf-life
·ICitalopramI(Celexa):IHasIfewerIdrugIinteractionsIcomparedIwithIotherISSRIs
·IEscitalopramI(Lexapro):ICompoundIderivedIfromIcitalopramI(Celexa)
OtherISSRIs:ISertralineI(Zoloft),IfluvoxamineI(Luvox




Q:IpostpartumIdepression


Answer:
RecognizeIitIisIaIrealIMMD
Risk:
•FewIdaysIafterIdeliveryIupItoIsixImonthsIafterIchildbirth
SupportIgroups-IcanIuseIlowIdoseISSRI'sIwhileIbreastfeeding.




Q:IHowIdoIyouIassessIsuicideIriskI(considerImnemonicISADIPERSONS)?

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