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3116 Psych Test 1
Mood Disorders and Suicidal Behavior
34
Nursing
Undergraduate 3
03/27/2011

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Cards

Term
What is the difference between mood and affect
Definition
mood is like the climate where affect is the weather?
Term
bipolar I:
Definition
history of one manic episode lasting at least one week; likely history of depressive episodes
Term
rapid cycling:
Definition
4 or more episodes of depression and mania/ 12 months
Term
what is the kindling theory of bipolar disorder?
Definition
the brain is sensitized by psychosocial stress and/or genetics so later the episodes need no stimulus
Term
you see a patient with grandiosity and pressured speech, flighty ideas, easily distracted, needs little sleep, feels little need for responsibility. What do you think this is?
Definition
Manic episode of bipolar disorder
Term
what is defensive coping and what are some examples?
Definition
projection of falsely positive self-eval used to increase self esteem - could be personalizing, "all or nothing", "mind reading", or discounting negatives
Term
Anti-manic lithium (eskalith and lithobid) is exreted by the __________ and has a ______ therapeutic range.
Definition
kidneys; narrow
Term
the side effects dry mouth, metallic taste, thyroid changes, polyuria, hyperglycemia, hand tremors, weight gain, nausea, decreased libido are common side effects of
Definition
lithium
Term
N&V, diarrhea, coarse hand tremors, blurred vision, slurred speech, ataxia and weakness are TOXIC effects of
Definition
lithium (>2.0 mEq/L)
Term
impaired consiousness, low BP, low urine output, irregular pulse and seizures indicate a lithium level of
Definition
> 2.5 mEq/l
Term
Depakote, Lamictal, Tegretol, Neurontin and Topamax are all which type of drug?
Definition
mood stabilizers (anticonvulsants)
Term
for anticonvulsants, monitor ______ and ______ function, and CBC for risk of ___________.
Definition
liver; renal; agranulocytosis
Term
__________________ are for sleep SHORT TERM, and cause cognitive changes in the elderly
Definition
benzos (klonopin, ativan)
Term
__________ are used SHORT TERM for psychomotor agitation, psychosis. Side effects are weight gain and mem/concentration impairment
Definition
antipsychotics (Abilify, seroquel, Haldol)
Term
___________ are prescribed with mood stabilizers and may cause manic episodes if given alone
Definition
antidepressants
Term
What are the focuses of family focused therapy?
Definition
"relapse planning" -- communication skills and a "no blame" attitude
Term
Name some risk factors for major depression
Definition
intoverted, stress sensitive, obsessive, recent negative traumas, childhood trauma, lack of relationships
Term
a patient has abnormal serotonin levels, LOTS of cortisol, problems with appetite and sleep. Whats going on?
Definition
Major depression
Term
Major depression age differences in male vs female?
Definition
females have lifetime risk with peak in early adulthood. Males peak in adolescence with a suicide risk in men over 80
Term
postpartum depression occurs when?
Definition
2 weeks to 12 mo. after delivery but usually with in 6 mo.
Term
what are the symptoms of seasonal affective disorder?
Definition
hypersonmia, lethargy, anxiety, irritability, weight gain.
Term
What do people use light therapy for? (think melatonin)
Definition
seasonal affective disorder to increase melatonin production and mimck the sun
Term
what are the somatic signs of Major depression?
Definition
GI symptoms, pain, palpitations, dizziness, change in sex drive, appetite and sleep, decreased concentration
Term
What does SOAPE stand for (in suicide risk assessment)
Definition
Subjective data, Objective data, Assessment, Plan, Eval and Education
Term
long term ___________ use exacerbate depression in older adults
Definition
benzo
Term
how long does it take for antidepressants to take therapeutic effect?
Definition
2 to 6 weeks
Term
What are the adverse effects of tricyclic antidepressants?
Definition
antiCH, orthostatic hypoTN, wieght gain, problems after MI
Term
what are the adverse effects of SSRIs?
Definition
restlessness, agitation, anxiety, GI complaints, apathy
Term
why are SSRI's safer than TCAs?
Definition
the overdoses are rarely fatal
Term
what is serotonin syndome?
Definition
an emergency situation where srotnin levels are really high. The person may have ataxia, super restlessness and disorientation
Term
what is SSRI discontinuation syndrome?
Definition
when the meds are stopped without tapering them. If its really bad you may have to restart SSRIs at a low dose
Term
some drugs work in combination to inhibit reuptake of neurotransmitters. What NT's do they work on?
Definition
serotonin, dopamine and norepinephrine
Term
with which drugs should you avoid tyramine foods like aged wine cheese beer and vinegar, and other antidepressants
Definition
MAOIs
Term
with which drugs in hypertensive crisis a risk?
Definition
MAOIs
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