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NUR 221 Exam 2 (Mood and Affect, Violence, Self)Qs & As
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NUR 221 Exam 2 (Mood and Affect, Violence, Self)Qs &As
Depression is the _______ leading cause of disability in the US Correct-4th
Dysthymia definition Correct-Less severe type of depression, includes long-term chronic
symptoms that do not disable but keep one from functioning well or from feeling good.
Anhedonia definition Correct-inability to experience pleasure or joy
Catatonia Correct-a state of unresponsiveness to one's outside environment, usually
including muscle rigidity, staring, and inability to communicate
Depression Nursing Diagnosis Correct-Risk for suicide
Hopelessness
Ineffective coping
Social isolation
Spiritual distress
Self care deficit
, NUR 221 Exam 2 (Mood and Affect, Violence, Self)Qs &
As
Depression Nursing Outcomes Correct-Client will
Be free from self-inflicted harm
Engage in reality-based interactions
Express emotions outwardly in a safe manner
Demonstrate functional level of psychomotor activity
Demonstrate compliance with xyz
Identify support systems in community
depression nursing interventions Correct-1. Safety-nutrition/sleep/suicide
2. Health Eval and physical exam
3. Validate feeling
4. Mutually structured/ scheduled activity
5. Identify strengths/support
6. Mutual goal setting
7. Teach
8. sit in silence
, NUR 221 Exam 2 (Mood and Affect, Violence, Self)Qs &
As
Electroconvulsive therapy Correct--For rapid therapy
-ECT is better than medication for the certain client
-Some clients do not respond well to medications
-Bipolar disorder - used to break rapid cycle patterns
-"Defibrating brain"
Seizures
-Clients do not have memory of event
-Must have informed consent and prepared like a surgical procedure
-Short term memory loss
-Confusion
-Caution not to make major life decisions
-Safety measures after therapy
St. John's Wort uses Correct-mild to moderate depression
St. John's Wort Precautions Correct-- contraindicated with anesthesia
, NUR 221 Exam 2 (Mood and Affect, Violence, Self)Qs &
As
- interacts with many herbs, supplements and medications (SSRIs)
- tolerated from 1-3 months
- advise patients to consult a physician
transcranial magnetic stimulation (TMS) Correct-the use of strong magnets to briefly
interrupt normal brain activity as a way to study brain regions
Suicide Safety Precautions Correct--Remove items from room that could cause harm
-O2 meter/tubing, cords of any kind, wire baskets/trash cans, suction gauge, blinds/curtains,
toxic substances, BP cuffs, stethoscopes, thermometers, excess linen, plastic bags, glass/sharp
items, clothes hangers, soda cans, pen/pencils, mirror, "not safe" bed, chairs, couches, shoe
laces, belts, room phone
-Primary interventions
-One on one supervision
-Document 15 minute checks - location, mood, behavior, activities
-Search client belongings when they arrive
-Plastic/paper utensils to eat (check facility policies)
-Ensure all medications are swallowed
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