Exam (elaborations)
NR546 Week 5 test your knowledge questions with correct answers .
- Course
- Institution
NR546 Week 5 test your knowledge questions with correct answers .
[Show more]
Seller
Follow
denicetho
Content preview
NR546 Week 5 test your knowledgequestions with correct answers
Pharmacologic Treatment of Major Depressive Disorder - ANSWER-Selective
serotonin reuptake inhibitors (SSRIs)
Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Norepinephrine and dopamine reuptake inhibitors (NDRIs)
Serotonin antagonists and reuptake inhibitors (SARIs)
Miscellaneous antidepressants
Monoamine oxidase (MAO)-B inhibitors
Adjunct: antipsychotics
Pharmacologic Treatment of Bipolar Disorder - ANSWER-Lithium
Anticonvulsants
Second generation antipsychotics
Mood disorders: role of the psychiatric mental health nurse practitioner (PMHNP)
is to: - ANSWER-determine the malfunctioning brain circuit responsible for the
client's presenting symptoms and select the appropriate medication that targets
the associated neurotransmitter(s)
Mood disorders manifest across a spectrum from: - ANSWER-mania to major
depressive disorder (MDD)
Unipolar depression - ANSWER-major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had episode in last year, prevalence
highest (13.1%) among individuals aged 18-25
S/S
-depressed mood
-loss of interest or pleasure in daily activities
,-irritability
-withdrawal
-problems with sleep, eating, energy, concentration, or self-worth
-severe depression: may experience thoughts of suicide or psychotic symptoms.
Bipolar disorder (BD) - ANSWER-Chronic condition characterized by extreme
fluctuations in mood, energy, and ability to function
-Moods may be manic, hypomanic, or depressed and may include mixed mood
or psychotic features
-many have only experienced only one manic episode in their lifetime
-Mood fluctuations may be separated by periods of high stability or may cycle
rapidly
-diagnosed when a client has one or more episodes of mania or hypomania with
a history of one or more major depressive episodes
-high risk for suicide
mania - ANSWER-characterized by a persistently elevated, expansive, or irritable
mood. Related symptoms may include inflated self-esteem, increased
goal-directed activity or energy, including grandiosity, decreased need for sleep,
excessive talkativeness, racing thoughts, flight of ideas (FOI), distractibility,
psychomotor agitation, and a propensity to be involved in high-risk activities.
Mania leads to significant functional impairment and may include psychotic
features or necessitate hospitalization
Bipolar Type I: - ANSWER-requires at least one episode of mania for at least one
week (or any duration if hospitalization due to symptoms is required)
Bipolar Type II: - ANSWER-diagnosis requires a current or past hypomanic
episode and a current or past major depressive episode. Symptoms last for at
least 4 days but fewer than seven.
-Hypomanic symptoms are not of sufficient duration or severity to cause
significant functional impairment, psychosis, or hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are reluctant to report these
symptoms, making bipolar more difficult to diagnose if the client presents in the
depression phase.
, Cyclothymia: - ANSWER-involves the chronic presentation of hypomanic and
depressive symptoms that do not meet the diagnostic criteria for a major
depressive or manic/hypomanic episode.
If bipolar depression is mistaken for MDD: - ANSWER-antidepressant therapy
may precipitate a manic episode or induce rapid-cycling bipolar depression
-may contribute to the increased incidence of death by suicide in children and
adults younger than 25
Antidepressants are used cautiously in clients with bipolar disorder and never as
________________. - ANSWER-monotherapy
-Antidepressants should be combined with a mood stabilizer to prevent the onset
of a hypomanic or manic episode
DA, NE Dysfunction causes what mood related symptoms -
ANSWER-Decreased positive affect:
depressed mood
loss of joy
lack of interest
loss of energy
decreased alertness
decreased self-confidence
appetite changes
5HT, NE Dysfunction causes what mood related symptoms -
ANSWER-Increased negative affect:
depressed mood
guilt
fear/anxiety
hostility
irritability
loneliness
appetite changes
neurobiological factors that contribute to mood and mood disorders: Genetics -
ANSWER-MDD and BD are heritable disorders
-genetic factors 31-42% of the disease risk in MDD and 59-85% in BD
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller denicetho. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.30. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now