NSG 357 Exam 2 Questions with All Correct Answers

NSG 357 Exam 2 Questions with All Correct Answers Depressive Disorders Classifications - Answer-dysthymic disorder, premenstrual dysphoric disorder, substance abuse depressive disorder, a depressive disorder associated with another medical condition Major Depressive Disorder - Answer-anhedonia (loss of interest or pleasure in usual activities); four of seven symptoms present: disruption in sleep, appetite, concentration, energy, psychomotor agitation or slowing, excessive guilt or feelings of worthlessness, suicidal ideation; s/s present for at least 2 weeks, no history of maniac behavior Biological factors of major DD - Answer-genetic, biochemical, alterations in hormonal regulation, inflammatory process, diathesis-stress model Diathesis-stress model - Answer-probability of someone developing a disorder due to unfavorable environment (Person A vs Person B example) Psychological factors of major DD - Answer-behavioral, cognitive, developmental Nursing Assessment for DD - Answer-physical: PMH, baseline vitals and labs (WBC, liver function, thyroid function, CBC, urinalysis), appetite, weight change, sleep disturbance, tiredness, decreased energy, fatigue psychosocial: mental status, behavior, coping skills, social history, psychiatric history, trauma assessment, occupational history Medication Choices for Depression - Answer-SSRIs, SNRIs, TCAs, MAOI inhibitors SSRIs, SNRIs, TCAs = block reuptake norepinephrine, serotonin, and/or dopamine MAOIs= inhibit monoamine oxidase which inactivate norepinephrine, serotonin, and dopamine SSRIs - Answer-examples: Fluoxetine (Prozac), Citalopram (Celexa), Sertraline (Zoloft), Paroxetine (Paxil), Escitalopram (Lexapro) pt education: 14-day window w/ MAOIs side effects: headache, nausea, sleeplessness or drowsiness, sexual dysfunction, agitation, serotonin syndrome