MENTAL HEALTH EXAM 2 STUDY GUIDE
dysthymia - Answers :more mild than major depressive disorder; they are able to
function but not at the best peak functioning that they normally are
when is peoples mood better with dysthymia - Answers :in the morning but worsens
throughout the day
what are the s&s of dysthymia - Answers :no psychotic symptoms; chronic low level
depressed more, most of the day, more days than not, and over 2 years
major depressive disorder - Answers :sleep disturbances, anadenia, symptoms for 2
weeks, no history of mania, cannot attribute the symptoms to substance abuse
major depressive disorder mood - Answers :mood is usually worse in the morning and
improves throughout the day; risk for suicide is higher
what are the treatments for major depressive disorder - Answers :antidepressants and
psychosocial therapies such as CBT and electrocompulsive therapy
ECT risks - Answers :confusion which can cause injury and memory loss
what do you do when a patient is mute - Answers :use the technique of making
observations "there are many new pictures on the wall"
why do we utilize making observations with mute patients - Answers :when a patient is
not ready to talk, direct questions can raise the patient's anxiety level and frustrate the
nurse. pointing to commonalities in the environment can address the hear and now and
reinforce reality
what sentence structure should we use with patients - Answers :simple, concrete words
why do we use simple concrete words - Answers :slowed thinking and difficulty
concentrating impair comprehension
why do we allow time for the patient to respond - Answers :slowed thinking necessitates
time to formulate a response
why should we listen for covert messages and ask about suicide plans - Answers
:people often experience relief and decrease in feelings of isolation when they share
thoughts of suicide, self harm, or harm to others
, why do we not give false reassurance like "things will look up" - Answers :these tend to
minimize the patients feelings and can increase feelings of guilt and worthlessness
because the patient cannot "look up" or snap out of it
SSRI - Answers :first line treatment and take 3-4 weeks for full effects to be seen
what are ex of ssri - Answers :fluoxetine, sertraline, paroxetine
what are pt at risk for taking ssri - Answers :seratoning syndrome and suicide
SSRI black box warning - Answers :suicide risk is higher during the first 4 weeks
serotonin syndrome - Answers :confusion, hyperthermia, ataxia, erectile dysfunction,
nausea, and diarrhea
MAOI risk - Answers :risk for htn crisis so avoid tyramines
buproprion (wellbutin) use - Answers :help with smoking cessation bc it acts on the
nicotinic receptors and help them to quit
nursing interventions for depressed patients - Answers :help them question underlying
assumptions and beliefs about themselves, consider alt explanations to problems,
encourage self esteem activities, encourage formation of supportive relationships, and
question if they want info abt spiritual info
what can antidepressive meds do - Answers :help lift depression as well as lift energy of
pt
why can antidepressives be negative sometimes - Answers :increases in energy at the
beginning of the antidepressant meds may be dangerous due to more energy to form
and carry out a plan for suicide
depressive disorders - Answers :do not have manic or hypomania components
bipolar disorders genetic - Answers :genetic risk is highly correlated and the inheritance
of it requires multiple risks; if someone has 2 parents with it or a first degree relative the
risk is high
hypomania - Answers :it is a mild form of mania so it is still engaging in risk behavior
and inflated self esteem but they dont have a psychotic symptoms and is less likely to
cause marked impairement on function
manic episodes - Answers :high feelings of euphoria, elation, anger, and irritability
manic episodes behaviors - Answers :labile moods and impulsivity, grandiosity,
decrease in sleep, impulsive and fleeting ideas, and decreased appetite and delusions
dysthymia - Answers :more mild than major depressive disorder; they are able to
function but not at the best peak functioning that they normally are
when is peoples mood better with dysthymia - Answers :in the morning but worsens
throughout the day
what are the s&s of dysthymia - Answers :no psychotic symptoms; chronic low level
depressed more, most of the day, more days than not, and over 2 years
major depressive disorder - Answers :sleep disturbances, anadenia, symptoms for 2
weeks, no history of mania, cannot attribute the symptoms to substance abuse
major depressive disorder mood - Answers :mood is usually worse in the morning and
improves throughout the day; risk for suicide is higher
what are the treatments for major depressive disorder - Answers :antidepressants and
psychosocial therapies such as CBT and electrocompulsive therapy
ECT risks - Answers :confusion which can cause injury and memory loss
what do you do when a patient is mute - Answers :use the technique of making
observations "there are many new pictures on the wall"
why do we utilize making observations with mute patients - Answers :when a patient is
not ready to talk, direct questions can raise the patient's anxiety level and frustrate the
nurse. pointing to commonalities in the environment can address the hear and now and
reinforce reality
what sentence structure should we use with patients - Answers :simple, concrete words
why do we use simple concrete words - Answers :slowed thinking and difficulty
concentrating impair comprehension
why do we allow time for the patient to respond - Answers :slowed thinking necessitates
time to formulate a response
why should we listen for covert messages and ask about suicide plans - Answers
:people often experience relief and decrease in feelings of isolation when they share
thoughts of suicide, self harm, or harm to others
, why do we not give false reassurance like "things will look up" - Answers :these tend to
minimize the patients feelings and can increase feelings of guilt and worthlessness
because the patient cannot "look up" or snap out of it
SSRI - Answers :first line treatment and take 3-4 weeks for full effects to be seen
what are ex of ssri - Answers :fluoxetine, sertraline, paroxetine
what are pt at risk for taking ssri - Answers :seratoning syndrome and suicide
SSRI black box warning - Answers :suicide risk is higher during the first 4 weeks
serotonin syndrome - Answers :confusion, hyperthermia, ataxia, erectile dysfunction,
nausea, and diarrhea
MAOI risk - Answers :risk for htn crisis so avoid tyramines
buproprion (wellbutin) use - Answers :help with smoking cessation bc it acts on the
nicotinic receptors and help them to quit
nursing interventions for depressed patients - Answers :help them question underlying
assumptions and beliefs about themselves, consider alt explanations to problems,
encourage self esteem activities, encourage formation of supportive relationships, and
question if they want info abt spiritual info
what can antidepressive meds do - Answers :help lift depression as well as lift energy of
pt
why can antidepressives be negative sometimes - Answers :increases in energy at the
beginning of the antidepressant meds may be dangerous due to more energy to form
and carry out a plan for suicide
depressive disorders - Answers :do not have manic or hypomania components
bipolar disorders genetic - Answers :genetic risk is highly correlated and the inheritance
of it requires multiple risks; if someone has 2 parents with it or a first degree relative the
risk is high
hypomania - Answers :it is a mild form of mania so it is still engaging in risk behavior
and inflated self esteem but they dont have a psychotic symptoms and is less likely to
cause marked impairement on function
manic episodes - Answers :high feelings of euphoria, elation, anger, and irritability
manic episodes behaviors - Answers :labile moods and impulsivity, grandiosity,
decrease in sleep, impulsive and fleeting ideas, and decreased appetite and delusions
