Mental Health Exam 5

Front 1

Major depressive disorder involves how many weeks of sad mood or lack of interest in life activities

Back 1

2 weeks

Front 2

The choice of which antidepressant to use is based on

Back 2

1. Client's symptoms

2. Age

3. Physical health needs

4. Drugs that have and have not worked in the past for a blood relative with depression

5. Other meds the client is taking

Hint 2

5

Front 3

Researchers believe that levels of neurotransmitters, like ________and ______ are decreased in depression

Back 3

Serotonin

Norephinephrine

Front 4

_______ establish a blockade for the reuptake of norepinephrine and serotonin into their specific nerve terminals

Back 4

Antidepressants

Front 5

After antipsychotic treats the psychotic features, the client is assessed to determine __________

Back 5

Whether the antipsychotic can be withdrawn

Front 6

Fewer people relapses with depression who receive _________ if antidepressant therapy

Back 6

18-24 months

Front 7

Dosage of antidepressants should be ________before discontinuing

Back 7

Tapered

Front 8

Administer in AM if nervous or PM if drowsy

Back 8

Fluoxetine (Prozac)

Front 9

Sertraline (Zoloft)

Back 9

SSRI

Front 10

Amitriptyline (Elavil)

Back 10

Tricyclic antidepressant

Front 11

Amoxapine (Asendin)

Back 11

Tricyclic antidepressant

Front 12

Doxepin (Sinequan)

Back 12

Tricyclic antidepressant

Front 13

Imipramine (Tofranil)

Back 13

Tricyclic antidepressant

Front 14

Desipramine (Norpramin)

Back 14

Tricyclic antidepressant

Front 15

Desipramine (Norpramin)

Back 15

Tricyclic antidepressant

Front 16

Nortriptyline (Palmelor)

Back 16

Tricyclic antidepressant

Front 17

SSRI are safer for what population

Back 17

Older adults

Front 18

Cyclic antidepressants take how long to reach full effect?

Back 18

6 weeks

Front 19

Tricyclic antidepressants contraindications

Back 19

1. Severe impairment of liver function

2. Myocardial infarction

3. On an MAOI

Front 20

Tricyclic antidepressants precautions

Back 20

Anticholinergic side effects

Front 21

Amoxapine may cause

Back 21

Extrapyramidal symptoms

Weight gain

Craving for sweets

Front 22

Maprotiline (Ludiomil) carries a risk for

Back 22

Seizures (especially for heavy drinkers)

Front 23

It may take clients with Severe depression several periods you complete the assessment because they feel...

Back 23

Exhausted and overwhelmed

Front 24

It is important that the nurse does no try to _______ the client because doing so leads to frustration and incomplete assessment data

Back 24

Rush

Front 25

To assess the client's perception of the problem, the nurse ask the following

Back 25

1. When they started

2. What was happening when they began

3. Their duration

4. What the client has tried to do about them

Front 26

Assessing the history is important to determine any previous

Back 26

1. Episodes of depression

2. Treatment

3. And client's response to treatment

Front 27

First priority for severe depression is to determine

Back 27

If the client is suicidal

Front 28

Clients are better to visit on several shorter visits rather than longer visits because

Back 28

The client may be unable to sustain long interactions

Front 29

The nurse's presence conveys

Back 29

Genuine interest and caring

Front 30

It is important to avoid trying to cheer up clients with severe depression because

Back 30

It makes them feel worse or it conveys a lack of understanding of their despair

Front 31

General appearance of someone with severe depression

Back 31

1. Psychomotor retardation

2. Latency of response

3. Psychomotor agitation

4. One to two word responses

Front 32

Mood and affect of clients with sever depression

Back 32

1. Anhedonia

2. Flat affect

Hint 32

2

Front 33

Going over the same thoughts

Back 33

Ruminate

Front 34

Delusions make clients feel responsible for...

Back 34

All tragedies and miseries of the world

Front 35

Assessing general knowledge for a client with severe depression is difficult because of...

Back 35

their limited ability to respond to questions

Front 36

Other neurological difficulties of severe depression

Back 36

1. Memory impairment

2. Orientation

3. Concentration

Front 37

Neurological impairments for psychotic clients

Back 37

1. Degrading belittleing voices

2. Command hallucinations

Front 38

Clients with severe depression often cannot make decisions because of...

Back 38

Their extreme apathy and belief that "it doesn't matter anyway"

Front 39

Clients with severe depression feel ______ about not being able to function and often ________ events or take responsibility for incident which they had no control

Back 39

Guilty; personalize

Front 40

Clients with severe depression often avoid family and social relationships because

Back 40

1. They feel overwhelmed

2. Experience no pleasure from interactions

3. Feel unworthy

Front 41

Constipation in Severe depression clients commonly results from...

Back 41

1. Deceased food intake

2. Decreased fluid intake

3. Inactivity

Front 42

Steps to assessing psychomotor retardation

Back 42

1. Ask to perform global task

2. If they can't, break the task into small segments

3. If they can't assist them in the task

Hint 42

3

Front 43

The nurse can use success in small, concrete, steps as a basis to increase_______ and to build _________ for a slightly more complex task the next time

Back 43

Self esteem; competency

Front 44

Food brought in frequently and in small amounts can prevent...

Back 44

Overwhelming the client with a large meal

Front 45

Sitting quietly with clients during meals can...

Back 45

Promote eating

Front 46

Interventions to promote sleep in severe depressed clients

Back 46

1. Use a sedative

2. Use a medication at night that has a side effect of drowsiness or sedation

3. Remain active and out of bed during the day

4. Monitor the number of hours they sleep

Front 47

The nurse can help the client with severe depression to learn or rediscover more effective

Back 47

Coping strategies

Front 48

Improved coping skills may not prevent depression, may assist clients to

Back 48

Deal with the effect of depression more effectively

Front 49

The __________ and ____________ that antidepressants produce can provide the energy for suicidal clients to carry out the act

Back 49

Increased activity; improved mood

Front 50

It is important clients are ingesting their meds and are not __________ it to commit suicide

Back 50

Saving

Front 51

Goals of psychotherapy

Back 51

1. Reverse negative views of the future

2. Improve self-image

3. Help clients