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24 Cards in this Set
- Front
- Back
What are the six different affective disorders?
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depression bipolar disorders, cyclothymic, dysthymic, sad and postpartum depression
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What is meant by Bi polar 1?
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patient has true mania and depression
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what is meant by Bipolar 2?
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hypomania and depressive episodes
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what is rapid cycling bipolar?
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4 or more episodes per year
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What affective disorder affects 10-20% of the population?
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depression
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What is the opposite affective disorder from depression?
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mania
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what are some effective interventions for depression?
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rest and activity, nutrition and elimination, hygiene, belonging/affiliation, self esteem, security
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what are some ineffective interventions for depression?
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becoming depressed yourself, pressuring for a more mature, logical response, attempting to alter mood through logical suggestion, focusing on who he/she has to live for, comparing their feeling to others, pointing out accomplishments of the past, encouraging competitive, tedious or complex tasks
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what are some nursing interventions for the manic patient?
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maintain safety, maintain nutrition (finger foods), decreaseenvironmental stimuli, set limits on behavior, provide rest time, decrease caffeine, be non judgemental, appropriate exercise, avoid fine motor activities, avoid competition
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What is the acute level of lithium carbonate?
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900-2400mg per day
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what is the maintenance level of lithium carbonate?
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300-1200mg per day
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What are some signs of lithium toxicity?
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slight apathy, sluggishness, drowsiness, lethargy, mild muscle weakness, mild ataxia, diminished concentration, slight muscle twitching, coarse hand tremors
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What are some of the side effects of lithium?
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polyuria, tremors, nausea, muscle weakness, fatigue, hypothyroidism, hair loss
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What herbal medication is used in the treatment of depression?
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St. Johns Wort (#1 most popular herbal remedy for depression in the US)
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What are some of the characteristics of St. Johns Wort?
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used for mild to moderate depression, 300mg TID
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What are some of the side effects of St. Johns Wort?
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photosensitivity, GI disturbances
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What is the herbal medication Valerian taken for?
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migraine headaches, cramps, insomnia and sedative effects
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What are some of the side effects of Valerian?
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headache, excitablity, liver damage with excess use
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What is the herbal remedy Kava used for?
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anxiety and insomnia
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What are some of the side effects of Kava?
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EPS, dry skin, yellow discoloration of skin
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What is SAME used for?
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depression, arthritis and liver disease
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What types of therapy is effective with affective disorders?
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Group therapy, family therapy
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What is the prevalence rate of ADHD?
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7 - 9%
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What are some areas of concern for children with ADHD?
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success in school/interpersonal relationships, frequent negative responses from parents, teachers and peers, safety, labeled "bad", "stupid" or "dumb", may be developmentally behind peer groups, negative impact on social relationships
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