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NSG322 Depressive Disorders: Questions/Answers
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NSG322 Depressive Disorders: Questions/Answers
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NSG322 Depressive Disorders: Questions/AnswersDepression is more common in Right Ans - women almost twice as likely as
men
Children > 3 years of age can be Right Ans - diagnosed with depression
Disruptive Mood Dysregulation Disorder (DMDD) Right Ans - a depressive
disorder in children characterized by persistent irritability and frequent
episodes of out-of-control behavior, intense temper outbursts
only diagnosed in childhood (onset before the age of 10)
Disproportionate number of depressed older Americans Right Ans - die by
suicide
due to it being undiagnosed and misdiagnosed
often associate with chronic illness
Clinical manifestations of depression Right Ans - Mood of sadness
Despair
Emptiness
Avolition (lack of motivation)
Negative pessimistic thinking
Anhendonia (things that used to be enjoyable aren't anymore)
Anergia (lack of energy)
Low self esteem
Apathy
Social withdrawal
Excessive emotional sensitivity
Irritability
Low frustration level
Insomnia or hypersomnia
Disruption in concentration and decision making ability
Excessive guilt
Indecisiveness
, Assessing for depression Right Ans - mental status exam
psychosocial assessment
Physical assessment
Standardized scales
-Hamilton Depression scale
-SAD PERSONS scale
Assessing suicide risk Right Ans - •SAD PERSONAS Scale
•SAFE-T
We do not disregard mentions of Right Ans - suicide no matter what
never overlook it.
Suicidal ideation Right Ans - thinking about suicide, usually with some
serious emotional and intellectual or cognitive overtones
Suicide attempt Right Ans - when a person engages in potentially harmful
behavior with some intention of dying
Completed suicide Right Ans - a term used to describe a suicide attempt
that results in death
parasuicidal behavior Right Ans - a behavior suggestive of suicide
attempts, such as mild drug overdosing, mixing alcohol and other drugs, or
minor cutting of the wrists
the aim is not death
Monitoring and documentation guidelines for suicide Right Ans - For a
client assess to be at a high risk of attempting suicide, one to one (1-1)
continuous monitoring is needed from a close distance
This includes bathroom and shower. Client safety is the priority
Documentation is done every 15 minutes
-observations of the client's statements, activities, and behaviors
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