Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

affective mood

pervasive/sustained emotion that may have a major influence on perception (depression, elation, anger). Mood (affect)-
alteration in mood or feelings(sadness, despair, pessimism). Depression
alteration in mood or feelings (hyperactivity, agitation, hyperactivity, grandiose). Mania
Major Depressive Disorder & Dysthymic Disorder are aka __________ Depressive (Unipolar)
Mania is AKA _______ (Bipolar)
depression is > in woman, young age,lower income,single,divorced,>spring,fall and > in whites but more sever in_____ more severe in blacks- less likely to be treated.
Bipolar is = in both men and woman, 1st manic episode is at age ___ 20
how does Pathological Depression occur when ADAPTATION is ineffective.
*Features: delusions-include guilt/punishment, hallucinations are auditory, berating is known as Psychotic ;Major Depressive Disorders Subtype
*Features (psychomotor retardation)is known as Catatonic ;Major Depressive Disorders Subtype
*Features (severe form of depressive episode) worse in AM, suicidal ideation is known as Melancholic ;Major Depressive Disorders Subtype
*Features dominant vegetative symptoms is known as Atypical ;Major Depressive Disorders Subtype
features fall/winter months is known as (SAD-seasonal affective disorder)Major Depressive Disorders Subtype
4weeks postpartum( with psychotic features-infant at risk)is known as PostPartum-onset;Major Depressive Disorders Subtype
Major Depression Proposed Subtypes are Premenstrual dysphoric disorder- characterized by more severe symptoms than premenstrual syndrome. Mixed anxiety/depression Recurrent brief depression-(1day/1wk,1x per month over 12 months.*high risk of suicide. Minor depression-chronic (self pity )
Change in previous function. Impaired social/occupational function existing for at least 2weeks. No history of Manic Behavior. Symptoms not attributed to medical conditions/substance abuse Depressive Disorders Major Depressive Disorder MDD
1. 5>symptoms presented in same 2 wks. Every day, most waking hours. 2. 1 of the symptoms is depressed mood (loss of interest/pleasure). 3. Clinically significant distress/impairment in social/occupational or other important Areas. Major Depressive Disorder Diagnostic Criteria
Depressed (SAD) most of the day nearly every day.Child/Adolescent-irritable.Older adults- subsyndromal depression.Marked diminished interested in pleasure.Significant wgt. Loss/gain.Insomnia/Hypersomnia 5.Psychomotor agitation/retardation.Fatigue Major Depressive Disorder Diagnostic Criteria r/t 1,2,3 named systems mentioned
Feelings of worthlessness/guilt (may be delusional). Decreased ability to think/concentrate/indecisive.Recent thoughts of death or SUICIDAL ideation. Major Depressive Disorder Diagnostic Criteria r/t 1,2,3 named systems mentioned
B. Never a MANIC Episode. C. Clinically significant distress or impairment. D. Symptoms have no direct physiological cause. E. Symptoms longer than 2months,suicidal ideation, psychotic/psychomotor (not related to bereavement). Major Depressive Disorder Diagnostic Criteria
Early onset (before 21yrs.) Childhood/ teens Late onset (21yrs>) early adulthood *MDD/DD-Main differences are duration and severity of symptoms.DD no psychotic symptoms Dysthymic Disorders Classification
Feature –chronically depressed mood(2yrs>); most of the day, more days than not . irritable mood in child/adolescent(1yr>). No evidence of psychotic symptoms. Milder than major depression “down in the dumps”, able to function. Depressive Disorders Dysthymic Disorder DD
What is the *Dominent Symptom in childhood depression *Dominent Symptom:Irritability and disruptive behavior, sadness and hopelessness core issues
What is the common denominator in childhood DD *Common denominator = LOSS
BEHAVIORAL changes lasting several weeks.Change in mood, thinking motivation. (sadness,loneliness,anxiety,delinquency,sexual acting out, substance abuse, anger,apathy are implications of ADOLESCENTS DD
*Perception of Abandonment by parents or peers can precipitate what in childhood DD SUICIDE .(3rd leading cause of death in 15-24yr olds)
What is the tx for DD in children and adolescents TX:psychosocial interventions, antidepressant
Senescence- (Low self-esteem, helplessness, hopelessness).Symptoms of depression often confused with dementia. Bereavement Overload. Highest % of suicides among the _______ Elderly -> TX: antidepressants, electroconvulsive therapy, psychotherapy (behavioral, group, cognitive, family).
Postpartum Depression-may last a week to several months. a. “blues”-50-85% (within 48hrs.) b. moderate-10-20% (start later-vary day to day) c. severe/psychotic-1to2 out of 1000 (risk of suicide/infanticide) what is the TX TX.-antidepressents,psychosocial therapy,support.
Many older adults suffer from depression. They experience many but not all symptoms of Major Depression. Note: Depression is common in older adults but it is.... NOT a normal result of aging.
what neurotransmitter deals with stress norepinephrine
What neurotransmitter regulates psychobiological factors (irritability, poor impulse control,arousal seritonin
What neurotransmitter exerts strong influence over mood/behavior dopamine
What neurotransmitter is excessive in depression, inadequate in mania. Acetylcholine
This theory states that depression results from the dynamic interplay of biology/environment. *Diathesis –Stress model
This theory states that ”learned helplessness”. Repeated failure to control life leading to feelings of helplessness and dependence on others, a possible predisposition for depression. *Learning theory
This theory states that negative cognitive distortion BECK’s TRAID (negative expectations of :envirorment, self, future). *Cognitive theory
This belief is associated with lower rates of depression. *Religious/Spiritual Belief-
This stage of Depression shows helpless, powerless,Behavioral-slow movement,limited communication, slumped, retarded thinking, difficulty concentrating anorexia or overeating, h/a, sleep disturbance. Moderate-associated with Dysthymic Disorder.
What stage of depression shows Affective-total despair, worthlessness, flat affect.Behavioral- psychomotor retardation, no communications,fetal position.Cognitive- Delusional thinking,confusion, suicidal thought.Physiological- slow-down entire body Severe- major depression or bipolar depression
ND for depression Risk for violence (self-directed) Powerlessness Self care deficit Low self esteem
Treatment Modalities Mood Disorders Psychopharmacology;Depression (pp.261-269) Mania (pp.290-296) Psychotherapy Group/Family Cognitive- Behavioral Therapy (CBT)-change negative thought patterns and behavior. Interpersonal Therapy (IET)-work through personal relations.
Electroconvulsive Therapy (ECT)Absolute contraindication increased intracranial pressure. High risk: CVA,MI,Aneurysm,>BP,CHF.
At least 1 episode of mania alternates with depression.(Psychosis may accompany the manic episode) Bipolar I (Mania)-
recurrent bouts of hypomania(euphoric) alternate with major depression (at risk for suicide). P.282 Bipolar II (hypomania)-
*Psychosis not present in Bipolar ___ II
hypomanic episodes alternate with minor depressive episodes (at least 2 years). They tend to have irritable hypomanic episodes. Cyclothymia-
-(4>mood episodes in 12 month period) severe symptoms resistance to conventional tx. Rapid Cycling
Bipolar Disorder Developmental Implications *Suicide Risk: rage, aggression, self-injurious behavior
Child/Adolescent- Treatment Strategies Bipolar . Psychopharmacology: Librium, Divalproex, Carbamazepine, Atypical antipsychotics. *ADHD- most common comorbid condition. ADHD Agents may >mania-only give after bipolar symptoms controlled.
What type of mainia *Does not require hospitalization usually Hypomania
What type of mania *Usually requires hospitalization Acute Mania
What type of mania * At risk for injury to self/others Delirious Mania
Intervention (NIC) Mania(Safety) Set limits on client’s behavior when needed. Reminded the client to respect distance between self & others Use short, simple sentences to communicate.Clarify the meaning of client’s communication. provide finger foods that are high in calories and prote
Suicide is a behavior, who has the highest rate of suicide Elderly rate very high
What affiliation decreases suicide risk. Religion-
What is a primary intervention for suicide Activities that provide support, education, information to prevent suicide. (schools, conferences).
What is a secondary intervention for suicide : Treatment of actual suicide crisis. (hot-lines, hospitals).
What is a tertiary intervention for suicide Working with family/friends of suicide victim.
Nursing Intervention (NIC) Suicide Ask client directly: do you want to harm yourself?, Do you have a plan?,Do you have the means (gun)? Safe environment: eliminate harmful objects. Contract not to harm self. Close Observation.Possibly 1:1. Make rounds at frequent,irregular,intervals.
Created by: troop27