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Mood DisordersPsychiatric Nursing: Contemporary Practice

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Who should NOT receive ECT to treat depression?
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Patients with increased intracranial pressure, recent hx of myocardial infarction, cerebrovascular accident, retinal detachment or a patient who has pheochromocytoma.
Which age group is thought to most benefit from ECT?
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Elderly patients
What are the nursing responsibilities related to ECT?
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The nurse should provide educational and emotional support, assess baseline/pretreatment level of function, prepare the patient for ECT, monitor their response and modify treatment plan as warranted.
What is anhedonia?
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A symptom of depression characterized by a loss of interest or pleasure.
What are the 5 common self report scales used to assess depression?
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General Health Questionnaire (GHQ), Center for Epidemiological Studies Depression Scale (CES-D), Beck Depression Inventory (BDI), Zung Self-Rating Depression Scales (SDS), PRIME-MD
What are the 5 common clincian completed scales used to assess depression?
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Hamilton Rating Scale for Depression (HAM-D), Montgomery-Asberg Depression Rating Scale (MADRS), and the National Institute of Mental Health Diagnostic Interview Schedule (DIS).
Which type of depression assessment scale is considered more accurate, the self report scales or the clinician completed scales?
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The clinician completed scales
What is passive suicidal ideation?
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Thoughts that others would be better off if the individual were dead or thoughts of death.
What is active suicidal ideation?
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A person has a specific plan for committing suicides.
How does depression affect cognition and memory?
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It can cause an impaired ability to think, concentrate or make decisions.
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What is pseudodementia?
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A cognitive impairment similar in presentation to dementia that occurs as a result of depression in older adults.
The type of therapy is successful in reducing symptoms of depression in the acute phase using techniques like thought stopping and positive self-talk.
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Cognitive therapy
The type of therapy uses activity scheduling, self-control therapy, social skills training and problem solving to treat patients with mild to moderately severe depression?
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Behavioral therapy
__________ therapy seeks to recognize, explore, and resolve the interpersonal losses, role confusion and transitions, social isolation, and deficits in social skills that may precipitate depressive states.
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Interpersonal
What populations are thought to experience the most benefit from interpersonal therapy?
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Patients with HIV that are experiencing depression (patients with personality disorders appear to experience no benefit).
What populations are thought to experience the most benefit from group therapy?
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People with depression associated with bereavement or chronic medical illnesses.
When attempting to assist a depressed patient in achieving normal social functioning, what should a nurse be careful NOT to do?
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Depressed patients should never be approached in an overly enthusiastic manner because it will irritate them and block communication.
What national support groups are available for patients experiencing primary mood disorders?
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Depression and Bipolar Support Network (DBSA), National Alliance for the Mentally Ill (NAMI), and the Mental Health Association and Recovery Inc.
What interventions should a nurse plan to perform for family members of a patient with a primary mood disorder?
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Educating the family r/t the condition and supporting them
What are the major goals of treatment of major depressive disorders?
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Help the patient to be as independent as possible, achieve stability, remission and recovery/
What is a cyclothymic disorder?
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A form of bipolar disorder with periods of hypomanic episodes and depressive episodes that don't meet the full criteria for major depressive episodes.
  
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