Term
| Major Depressive Disorder |
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Definition
| Severe emotional, cognitive, behavioral, and physical symptoms of depression with a history of one or more major depressive episodes and no history of manic of hypmanic episodes. |
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Term
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Definition
| Mild to Moderate symptoms of depression experienced over most of the day, more days than not, for at least 2 years. Hospitalization is rarely necessary. |
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Term
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Definition
| Seligman. Anxiety is replaced by depression if the person feels that the self has no control over the outcome of the situation. A person who believes that an undesired event is his or her fault and that nothing can be done to change it is prone to depression. |
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Term
| Key findings in depression |
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Definition
depressed mood
anhedonia
anxiety
psychomotor retardation
poor memory and concentration
hopelessness
poor self esteem
guilt and anger
change in sleep, eating, and bowel habits |
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Term
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Definition
Affect
Thought processes--SI!!!
Feelings
Physical behavior |
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Term
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Definition
Low self esteem
Risk for self directed violence
disturbed thought processes
spiritual distress
Impaired social interaction |
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Term
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Definition
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Term
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Definition
| Can positively alter poor self-concept, degree of withdrawl, activity level. it may be necessary to take these for up to 3 weeks before response is shown. |
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Term
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Definition
| First line therapy in all depressions except psychotic depression, melancholic depression, and mild depression. Low side effects. Act quickly. Side effects may include dry mouth, blurred vision, and urinary retention. |
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Term
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Definition
| Rapid, definitive therapy that reduces suicide, extreme agitation, or stupor. Requires informed consent. Side effects include: confusion, disorientation, and STM loss |
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Term
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Definition
| chronic mood syndrome which manifests in recurring mood episodes. High highs and low lows. |
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Term
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Definition
Euphoric mood--unstable and unpredictable
Hyperactivity
Poor judgement
Rapid speech
Themes of grandiosity, sexual prowess
Speech disorganized and incoherent
spend money freely |
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Term
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Definition
| The manic client is out of control and resists being controlled. Manic clients are masterful at pointing out staff faults and splitting staff. Setting limits is essential!! |
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Term
| Priority nursing diagnosis for manic client |
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Definition
| Risk for injury is the priority nursing diagnosis. |
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Term
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Definition
| Antimanic drug of choice. Therapeutic dose is 0.8-1.4 mEq/L. Blood levels are drawn biweekly until therapeutic level is reached. |
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Term
| Four gifts of resolving relationships |
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Definition
| Forgiveness, love, gratitude, and farewell. |
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