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23 Cards in this Set
- Front
- Back
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Name the four bipolar disorders
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Bipolar I
Bipolar II Rapid Cycling Bipolar Mood swings |
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Define Bipolar I disorder
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Times of depression, times of mania, times of normalization
Characterized by the occurrence of one or more manic episodes and more or more depressive episodes |
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Define Bipolar II disorder
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Less severe end of the continuum and is characterized by one or more hypomanic episodes and more or more depressive episodes.
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If a patient has 5 episodes of bipolar incidences in a 12 month period, what is this called?
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Rapid cycling bipolar episode
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What time period constitutes a person is having a mood swing?
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24 hour period of mood change
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What is it called when someone has a mild mood swing episode?
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Cyclothymic
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What is chronic depression typically called?
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Dysthymic
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What common clincal depression is seen in mothers who just delievered a baby?
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Postpartum depression
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When someone reacts to a joke with a small smile, what kind of affect is that?
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Blunted
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What term is used to define someone who has no affect to any stimulation?
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Flat affect
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A person who starts feeling sad, but immediately feels better after doing something enjoyful had what kind of depressive episode?
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The blues
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Someone who has been feeling sad for more than two weeks has what kind of episode?
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Grief
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What is the most dangerous act a person who is depressed can do?
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Commit suicide
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TRUE OR FALSE: A person who rebound from depression are less likely to commit suicide.
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FALSE
People who rebound may feel more energetic when coming out of depression, thus having more energy to commit suicide. |
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What gender is more susceptible to depression?
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Women
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What percent of the population is depressed?
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10-20%
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What factors contribute to depression?
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Genetic
Biochemical Other biological influences Social Cognitive Intrapersonal Learning Feminist Suicide is a self limiting condition |
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What assessments would a nurse perform to determine a client's depressive state?
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Behavioral
Affective Cognitive Perceptual Cultural/social Developmental Concomitant disorders Depression Persistent sad, “empty” mood Feeling hopeless, pessimism Feelings of guilt, worthlessness, helpless Anhedonia Insomnia Change in appetite Thoughts of death or suicide Difficulty concentrating Restless, irritable Physical symptoms Mania Inappropriate elation Inappropriate irritability Severe insomnia Grandiose thinking Hyper verbal Racing thoughts Increased sexual desire Increased energy Poor judgment |
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A person diagnosed with anhedonia. What would confirm this diagnosis?
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A nurse would observe that the client does not enjoy things they would normally enjoy.
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What ineffective nursing interventions must be identified before a nurse interacts with a patient?
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Nurse must be self-aware of how they feel about patient's depression and how the patient is dealing with it.
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A nurse admits a patient with severe depression. What is priority intervention upon admission
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Client safety
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TRUE OR FALSE: Paralleling a patient's depression ia a good intervention because it helps the nurse understand the patient's troubles.
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FALSE
Don't get depressed with them! |
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A highly intelligent nurse who needs reason for everything should NOT do with a depressed client?
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The nurse should NOT look for a mature, logical response from the patient, attempting to alter their mood through logical suggestion
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