Mood Disorders and Management
45 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the key to effective management of mood disorders?

  • Psychotherapy alone
  • Early Diagnosis (correct)
  • Medication only
  • Understanding family history

    • Euthymia is characterized by significant functional impairment.

    False

    What mood disorder involves an absence of depressed mood for at least 2 years?

    Dysthymia

    People with bipolar 2 disorder display _____ rather than full mania.

    <p>hypomania</p> Signup and view all the answers

    Which of the following is a major risk factor for suicide?

    <p>Suicidal ideation</p> Signup and view all the answers

    Normal fluctuations in mood are indicative of a disorder.

    <p>False</p> Signup and view all the answers

    Name one type of depressive disorder mentioned in the content.

    <p>Major Depressive Disorder</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Euthymia = Normal range of mood Hypomania = Less severe form of mania Dysthymia = Chronic low mood Major Depressive Disorder = Severe depression with significant impairment</p> Signup and view all the answers

    What behavior might very young children exhibit as a sign of emotional distress?

    <p>Crying</p> Signup and view all the answers

    School-age children often show a significant increase in emotional reactivity.

    <p>False</p> Signup and view all the answers

    What type of behavior might a teenager exhibit if they are experiencing emotional instability?

    <p>Irritability</p> Signup and view all the answers

    Adolescents may engage in substance use or sexual ________ as a response to emotional instability.

    <p>promiscuity</p> Signup and view all the answers

    What is an important factor to assess in relation to affective instability?

    <p>Loss of contact with reality</p> Signup and view all the answers

    Match the age group with their potential emotional expression:

    <p>Very young child = Crying Young child = Sudden refusal to go to school School-age child = Withdrawing Teenager = Irritability</p> Signup and view all the answers

    Name one risk factor that could lead to a potential suicide attempt in adolescents.

    <p>Mood disorder</p> Signup and view all the answers

    Functional ability in relationships and work is important for determining the severity of a mood disorder.

    <p>True</p> Signup and view all the answers

    What is the most dangerous aspect of major depressive disorder?

    <p>Suicidal ideation</p> Signup and view all the answers

    Initiation of antidepressants decreases the risk for suicide by increasing both energy and cognition.

    <p>False</p> Signup and view all the answers

    List two behaviors that may become dangerous and reckless during a manic episode.

    <p>Gambling and violence</p> Signup and view all the answers

    Persistent and negatively focused thoughts about death are known as __________.

    <p>suicidal ideation</p> Signup and view all the answers

    Match the following risk factors with their corresponding descriptions:

    <p>Hopelessness = Increases risk for suicide Substance use = Can lead to impaired judgment Recent loss = A significant trigger for suicidal thoughts History of past suicide attempts = Higher likelihood of future attempts</p> Signup and view all the answers

    Which cognitive change is commonly seen in major depressive disorder?

    <p>↓ Short-term &amp; working memory</p> Signup and view all the answers

    Severe depression may lead to the presence of psychotic features like hallucinations.

    <p>True</p> Signup and view all the answers

    Name one common issue faced by individuals suffering from major depressive disorder.

    <p>Difficulty in making decisions</p> Signup and view all the answers

    Selective serotonin reuptake inhibitors (SSRIs) are considered the first line of defense in most __________ related disorders.

    <p>anxiety</p> Signup and view all the answers

    What common behavior might individuals with major depressive disorder exhibit regarding advice?

    <p>They frequently reject it</p> Signup and view all the answers

    Match the following features with their descriptions:

    <p>Delusions = False beliefs that are firmly held despite contradictory evidence Hallucinations = Perceptions of things that are not present Attention deficits = Decreased ability to maintain focus Poor judgment = Inability to make reasonable decisions</p> Signup and view all the answers

    Individuals with major depressive disorder often respond positively to nursing interventions.

    <p>False</p> Signup and view all the answers

    What should one recognize when caring for a patient with major depressive disorder?

    <p>It is an illness</p> Signup and view all the answers

    Which of the following is a common vegetative behavior associated with depression?

    <p>Weight gain due to overeating</p> Signup and view all the answers

    A hallmark of depression can include hypersomnia, where an individual may sleep excessively.

    <p>True</p> Signup and view all the answers

    What changes in appearance might indicate someone is experiencing depression?

    <p>Neglect of grooming, dressing, and personal hygiene.</p> Signup and view all the answers

    Individuals with depression may make little to no _____ contact.

    <p>eye</p> Signup and view all the answers

    Which of the following might suggest a decrease in sexual interest in someone suffering from depression?

    <p>Impotence</p> Signup and view all the answers

    Match the symptoms of depression with their descriptions:

    <p>Loss of libido = Decreased sexual desire Psychomotor retardation = Slowed physical movements and responses Insomnia = Difficulty falling or staying asleep Poor grooming = Neglecting personal hygiene and appearance</p> Signup and view all the answers

    Depression can lead to a heightened speech and thought process.

    <p>False</p> Signup and view all the answers

    What is a common sleep disturbance experienced by individuals with depression?

    <p>Insomnia or hypersomnia.</p> Signup and view all the answers

    What speech pattern involves talking nonstop with no interest in feedback?

    <p>Pressured speech</p> Signup and view all the answers

    Circumstantial speech typically conveys a clear and coherent point quickly.

    <p>False</p> Signup and view all the answers

    What pattern of speech is characterized by a continuous flow of ideas with rapid changes in topic?

    <p>Flight of ideas</p> Signup and view all the answers

    The speech pattern characterized by abrupt changes from topic to topic is known as __________.

    <p>flight of ideas</p> Signup and view all the answers

    Match the following speech patterns with their descriptions:

    <p>Circumstantial speech = Adding unnecessary details before getting to the point Pressured speech = Loud, rapid, and incoherent communication Loose associations = Thoughts loosely connected to each other Flight of ideas = Rapid changes from topic to topic</p> Signup and view all the answers

    Which of the following is true about 'loose associations' in speech?

    <p>They represent a disordered way of processing information.</p> Signup and view all the answers

    Individuals displaying manic speech patterns often show insight into their disorganized speech.

    <p>True</p> Signup and view all the answers

    What is the main intervention needed for a person displaying excessive spending in a manic state?

    <p>Needs intervention to prevent financial ruin</p> Signup and view all the answers

    Study Notes

    Mood & Affect Introduction/Assessment

    • Giddens Concept 31 is referenced
    • Chapter 13 covers Bipolar & related disorders
    • Chapter 14 covers Depressive Disorders
    • Dr. Michele Nye's contact information is provided

    Mood & Affect

    • NUR 1120: Introduction/Assessment
    • NUR 1125: Post-partum depression
    • NUR 2225: Dysthymia, Major Depressive Disorder, Psychotic Depression, Suicide, Bipolar Disorder

    Early Diagnosis is Key!!! Mood Spectrum

    • Euthymia: Normal range of mood, absence of depressed or elevated mood
    • Depressed mood: Sporadically for at least 2 years.
    • Dysthymia: Depressed mood sporadically for at least 2 years. Euthymia is normal to fluctuate.
    • Abnormal Euphoria: Affects mood, thoughts, & behavior. Differences from mania include no impairment. Symptoms are similar to mania but differ in degree.
    • Hypomania: Displays in bipolar 2 disorder, different in degree from mania.

    Assess Affect

    • Risk for Suicide
    • Antidepressants can increase energy & cognition, potentially increasing suicide risk
    • Mood, energy, and cognition are assessed for suicide risk
    • Consider if mood is good, increased energy, and improved cognition, the risk of suicide is likely increased

    Assessment of Suicidality

    • Preoccupation with death is a key aspect of major depressive disorder
    • Fantasies about death, funerals and recurring dreams of death are common
    • Suicidal ideation, a plan and ability to carry it out require immediate intervention

    How We Feel & What We Observe

    • Mood is pervasive & sustained emotion
    • Affect = patient's emotional responsiveness.
    • Observed by facial expressions, tone of voice, body movements, and the absence of emotional expression(flat affect/blunted/constricted)

    Affect

    • Affect is an objective representation of a person's internal state
    • Affective feelings may be congruent or incongruent with mood
    • Constricted, blunted, flat affect are common in mood disorders

    Don't Overlook Depression in Children

    • Core symptoms are similar to adults.
    • Display variations in presentation
    • Young children may cry or suddenly refuse to go to school
    • School-age may withdraw, display irritability, or become involved with substance use or sexual behaviors
    • Risk factors like preoccupation with death or ideation of suicide are significant

    Mania & Euphoria

    • Upbeat, more talkative, rapid speech, inflated self-esteem are common signs of mania.
    • Irritable, agitated, aggressive, restlessness, and rage are associated with dysphoric mania

    Mood & Affect and Cognitive Function

    • Assess patient abstract thinking or if it is concrete
    • Affective instability - is pt crying, rage, euphoria, flatness?
    • Is pt unstable with or without reality contact?

    Depression Impairment

    • Inability to solve problems and conduct daily living

    Sexual Interest Loss of Libido

    • Loss of interest or experience of impotence
    • Affects relationships

    Speech & Thought Process

    • Slow, soft monotone speech, decreased spontaneity.
    • Poverty of thought- difficulty communicating or responding
    • Patient needs repetition of questions for response
    • Serious depression cases can lead to muteness.

    Thought Content & Perceptions

    • Psychotic features (delusion and hallucinations) often present in depression
    • Difficulty in problem-solving and making decisions

    Mania and Hypomania Recognition

    • Can last from days to longer periods of time.
    • Experience intense feelings & elevated energy levels.
    • Behavior and thought patterns can be elevated or disordered
    • May or may not recognize distorted feelings for themselves or for others

    Thought Content Mania (Grandiose Delusions, Persecutory Delusions, Clang Associations)

    • Grandiose delusions involve inflated self-regard, exaggerating achievements or importance
    • Persecutory delusions concern the belief that they are being harmed, watched, or spied on, and is common in mania.
    • Clang associations is an aspect of mania when people string words together because they rhyme.
    • Ideas in the content are often false and distorted, but these are considered delusions.

    Major Depressive Disorder

    • Attention deficits, short and working memory deficits, problems in verbal and nonverbal learning, problems with processing speed are common.

    Generalized Anxiety Disorder

    • Often comorbid with major depressive disorder
    • High anxiety scores on evidence-based anxiety assessments may point to major depressive disorder

    Pharmacological and Parenteral Therapies

    • Medication administration (blood products, calculations, IV access)
    • Potential interactions, client response, educational material, safety measures

    Suicide Risk Assessment

    • Conduct proper assessment of affect, mood (constricted, blunted, flat) for risk of suicide
    • Assess for the existence of hopelessness, substance use
    • Assess for past suicide attempts
    • Identify recent loss or separation

    Assessment Guidelines for Mood and Affect

    • Assess patients that are experiencing mania or symptoms related to mania, bipolar disorder, or other mood disorders

    Connect What You Are Learning Regarding Mood Disorders

    • Anxiety disorders are common in the United States
    • Frequent co-occurrence with major depressive disorder and/ or substance use

    Other Considerations

    • Comorbid medical conditions requiring treatment
    • Medical or drug-related contributing causes of presenting symptoms

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Explore the complexities of mood disorders through this quiz covering essential concepts such as euthymia, bipolar disorder, and risk factors for suicide. Test your knowledge on emotional expression across different age groups and learn about the signs of emotional distress in children and adolescents.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser