Podcast
Questions and Answers
What is the primary purpose of a polysomnography (sleep study)?
What is the primary purpose of a polysomnography (sleep study)?
Which of the following is a non-invasive method used to assess sleep patterns and potentially diagnose insomnia?
Which of the following is a non-invasive method used to assess sleep patterns and potentially diagnose insomnia?
What is a key component of Cognitive Behavioral Therapy for Insomnia (CBT-I)?
What is a key component of Cognitive Behavioral Therapy for Insomnia (CBT-I)?
Which of the following is NOT a recommended lifestyle modification for improving sleep quality?
Which of the following is NOT a recommended lifestyle modification for improving sleep quality?
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What is the primary treatment approach for sleep apnea?
What is the primary treatment approach for sleep apnea?
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Which of these are examples of pharmacological interventions for insomnia?
Which of these are examples of pharmacological interventions for insomnia?
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What is the primary goal of client education regarding sleep disorders?
What is the primary goal of client education regarding sleep disorders?
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Which of the following is a potential benefit of engaging in regular physical activity for improving sleep quality?
Which of the following is a potential benefit of engaging in regular physical activity for improving sleep quality?
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Which class of medications is primarily used to treat anxiety?
Which class of medications is primarily used to treat anxiety?
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What is a common adverse effect associated with the use of valproic acid?
What is a common adverse effect associated with the use of valproic acid?
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Which of the following medications belongs to the benzodiazepine class?
Which of the following medications belongs to the benzodiazepine class?
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Which neurotransmitter is primarily affected by benzodiazepines?
Which neurotransmitter is primarily affected by benzodiazepines?
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What is a potential adverse effect of non-benzodiazepine sedative-hypnotics like zolpidem?
What is a potential adverse effect of non-benzodiazepine sedative-hypnotics like zolpidem?
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What is a crucial nursing consideration for patients taking lithium?
What is a crucial nursing consideration for patients taking lithium?
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Which of the following is a potential contributing factor to depression?
Which of the following is a potential contributing factor to depression?
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What is the primary mechanism of action for antipsychotics like olanzapine in treating mania?
What is the primary mechanism of action for antipsychotics like olanzapine in treating mania?
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Which of the following medications is NOT a tricyclic antidepressant?
Which of the following medications is NOT a tricyclic antidepressant?
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What is a potential adverse effect of tricyclic antidepressants?
What is a potential adverse effect of tricyclic antidepressants?
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A patient taking a monoamine oxidase inhibitor (MAOI) should avoid consuming foods high in which of the following?
A patient taking a monoamine oxidase inhibitor (MAOI) should avoid consuming foods high in which of the following?
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What is the therapeutic range for lithium?
What is the therapeutic range for lithium?
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Which of the following is a common symptom of bipolar disorder?
Which of the following is a common symptom of bipolar disorder?
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Which of the following medications is an anticonvulsant used to treat bipolar disorder?
Which of the following medications is an anticonvulsant used to treat bipolar disorder?
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What is a potential adverse effect of lithium?
What is a potential adverse effect of lithium?
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When providing nursing care to a patient taking an antidepressant, what is an important assessment to perform?
When providing nursing care to a patient taking an antidepressant, what is an important assessment to perform?
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Which of the following accurately describes the difference between Major Depressive Disorder (MDD) and Dysthymia?
Which of the following accurately describes the difference between Major Depressive Disorder (MDD) and Dysthymia?
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What is the primary purpose of using structured screening tools like the PHQ-9 or Beck Depression Inventory in depression assessment?
What is the primary purpose of using structured screening tools like the PHQ-9 or Beck Depression Inventory in depression assessment?
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In a mental status exam for a patient with depression, which element is particularly important to assess?
In a mental status exam for a patient with depression, which element is particularly important to assess?
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What is a key element of self-care that nurses should prioritize when working with patients with depression?
What is a key element of self-care that nurses should prioritize when working with patients with depression?
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Which of the following is NOT a common co-morbidity that may occur alongside depression?
Which of the following is NOT a common co-morbidity that may occur alongside depression?
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Why is it important for nurses to avoid personalizing a patient's symptoms and behaviors when working with someone experiencing depression?
Why is it important for nurses to avoid personalizing a patient's symptoms and behaviors when working with someone experiencing depression?
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Which type of antidepressant is generally considered first-line treatment for MDD?
Which type of antidepressant is generally considered first-line treatment for MDD?
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What is a significant factor to consider when prescribing antidepressants for patients with MDD?
What is a significant factor to consider when prescribing antidepressants for patients with MDD?
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How does Interpersonal Therapy (IPT) specifically help patients with depression?
How does Interpersonal Therapy (IPT) specifically help patients with depression?
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Which of the following is NOT a benefit of group therapy for individuals with Major Depressive Disorder (MDD)?
Which of the following is NOT a benefit of group therapy for individuals with Major Depressive Disorder (MDD)?
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Which of the following risk factors is commonly associated with both substance abuse and suicidal behaviors?
Which of the following risk factors is commonly associated with both substance abuse and suicidal behaviors?
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What is the primary goal of Mindfulness-Based Cognitive Therapy (MBCT) in treating MDD?
What is the primary goal of Mindfulness-Based Cognitive Therapy (MBCT) in treating MDD?
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What is a key characteristic of traumatic brain injury (TBI) that contributes to increased suicide risk?
What is a key characteristic of traumatic brain injury (TBI) that contributes to increased suicide risk?
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Which therapy approach emphasizes the importance of engaging in enjoyable activities, even when motivation is low, as a way to improve mood?
Which therapy approach emphasizes the importance of engaging in enjoyable activities, even when motivation is low, as a way to improve mood?
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Which therapy approach seeks to provide a structured and supportive atmosphere for patients to interact and engage with one another?
Which therapy approach seeks to provide a structured and supportive atmosphere for patients to interact and engage with one another?
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Which of these groups is particularly susceptible to suicide risk due to factors like chronic illness, social isolation, and loss of independence?
Which of these groups is particularly susceptible to suicide risk due to factors like chronic illness, social isolation, and loss of independence?
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Which of the following is NOT a risk factor commonly associated with suicidal behavior in adolescents?
Which of the following is NOT a risk factor commonly associated with suicidal behavior in adolescents?
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What is the primary benefit of Supportive Psychotherapy for those struggling with MDD?
What is the primary benefit of Supportive Psychotherapy for those struggling with MDD?
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How does cognitive behavioral therapy (CBT) help individuals with MDD?
How does cognitive behavioral therapy (CBT) help individuals with MDD?
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Which of these factors is NOT considered when assessing suicide risk using the SAD PERSONS scale?
Which of these factors is NOT considered when assessing suicide risk using the SAD PERSONS scale?
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Which of the following contributes to the effectiveness of Milieu therapy in treating MDD?
Which of the following contributes to the effectiveness of Milieu therapy in treating MDD?
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What is the primary function of the SAD PERSONS scale?
What is the primary function of the SAD PERSONS scale?
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Which of the following is considered a significant risk factor for suicidal behavior?
Which of the following is considered a significant risk factor for suicidal behavior?
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Which of these individuals is MOST likely to be at an increased risk for suicide?
Which of these individuals is MOST likely to be at an increased risk for suicide?
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Flashcards
Polysomnography
Polysomnography
An overnight test monitoring brain, heart, and respiratory activity during sleep.
Actigraphy
Actigraphy
A wrist device used to monitor sleep-wake cycles and movement over time.
Sleep Hygiene
Sleep Hygiene
Practices to promote better sleep quality and schedule consistency.
Cognitive Behavioral Therapy for Insomnia (CBT-I)
Cognitive Behavioral Therapy for Insomnia (CBT-I)
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CPAP Therapy
CPAP Therapy
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Melatonin Receptor Agonists
Melatonin Receptor Agonists
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Dopamine Agonists
Dopamine Agonists
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Lifestyle Modifications
Lifestyle Modifications
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Tricyclic Antidepressants (TCAs)
Tricyclic Antidepressants (TCAs)
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Monoamine Oxidase Inhibitors (MAOIs)
Monoamine Oxidase Inhibitors (MAOIs)
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Adverse Effects of TCAs
Adverse Effects of TCAs
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Bipolar Disorder
Bipolar Disorder
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Lithium
Lithium
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Atypical Antidepressants
Atypical Antidepressants
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Nursing Considerations for Antidepressants
Nursing Considerations for Antidepressants
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Therapeutic Range for Lithium
Therapeutic Range for Lithium
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Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT)
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Interpersonal Therapy (IPT)
Interpersonal Therapy (IPT)
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Psychodynamic Therapy
Psychodynamic Therapy
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Behavioral Activation
Behavioral Activation
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Mindfulness-Based Cognitive Therapy (MBCT)
Mindfulness-Based Cognitive Therapy (MBCT)
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Milieu Therapy
Milieu Therapy
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Suicide Prevention
Suicide Prevention
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Dysthymia
Dysthymia
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Double Depression
Double Depression
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PHQ-9
PHQ-9
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Clinical Interviews
Clinical Interviews
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Mental Status Exam (MSE)
Mental Status Exam (MSE)
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Self-Awareness in Nursing
Self-Awareness in Nursing
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Antidepressants
Antidepressants
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Risk Assessment for Depression
Risk Assessment for Depression
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Substance Abuse Risk
Substance Abuse Risk
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Traumatic Brain Injury (TBI)
Traumatic Brain Injury (TBI)
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Chronic Illness Impact
Chronic Illness Impact
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Older Adults Risk Factors
Older Adults Risk Factors
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Adolescents' Vulnerability
Adolescents' Vulnerability
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SAD PERSONS Scale
SAD PERSONS Scale
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Access to Means
Access to Means
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Social Isolation Effects
Social Isolation Effects
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GABA modulation
GABA modulation
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Adverse effects of valproic acid
Adverse effects of valproic acid
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Antipsychotics for mania
Antipsychotics for mania
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Sedative drugs
Sedative drugs
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Benzodiazepines
Benzodiazepines
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Non-Benzodiazepine hypnotics
Non-Benzodiazepine hypnotics
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Biological factors of depression
Biological factors of depression
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Tapering off medications
Tapering off medications
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Study Notes
Mood Disorders
- Mood disorders encompass depressive disorders (major depressive disorder, persistent depressive disorder) and bipolar disorder.
- Major depression affects approximately 7-10% of adults annually.
- Bipolar disorder affects about 2.8% of the population.
- Women are twice as likely as men to develop depressive disorders, while bipolar disorder is equally distributed by gender.
- Mood disorders commonly begin in adolescence or early adulthood.
- Certain ethnic and cultural groups may experience higher or lower rates of diagnosis.
Biological and Psychosocial Theories
- Genetics plays a role in mood disorders, often hereditary.
- Neurotransmitter imbalances (low serotonin, norepinephrine, dopamine) correlate with depression.
- Brain structure and function abnormalities in the prefrontal cortex and limbic system contribute to mood disorders.
- Hormonal dysregulation (e.g., thyroid dysfunction, cortisol levels) impacts mood.
- Stress and negative thinking patterns contribute to depression.
- Early attachment issues increase vulnerability to mood disorders.
Comparison of Depressive and Bipolar Disorders
- Depressive Disorders: Types include Major Depressive Disorder (MDD) and Persistent Depressive Disorder (PDD).
- Bipolar Disorders: Types include Bipolar I, Bipolar II, and Cyclothymic Disorder.
- Mood Episodes: Depressive episodes involve depressed mood and loss of interest/pleasure. Bipolar episodes include manic/hypomanic episodes and depressive episodes.
- Duration of Symptoms: Depressive episodes last at least two weeks; manic episodes, at least a week; hypomanic, at least four days.
Epidemiology and Life Course
- Depressive disorders often begin in adolescence or early adulthood and can be recurrent.
- Bipolar disorders typically emerge between 15 and 30.
- Cycling of mood episodes in bipolar disorder can vary (rapid cycling or long periods of stability).
- Mood disorders can lead to functional impairment in work, relationships, and self-care.
Nursing Process
- Assessment: Evaluate mood, behavior, cognitive patterns, physical health, risk for suicide, and family dynamics.
- Diagnosis: Identify nursing diagnoses such as Risk for Suicide, Ineffective Coping, and Imbalanced Nutrition.
- Planning: Develop realistic goals for improving mood, promoting self-care, and enhancing coping mechanisms.
- Intervention: Provide supportive therapy, encourage communication, assess safety, and educate about medications.
- Evaluation: Monitor progress towards goals, reassess mood, and evaluate treatment effectiveness.
Collaborative Interventions
- Medication management includes antidepressants and mood stabilizers (prescribed by physicians).
- Psychotherapy options include CBT, IPT, and family therapy.
- Social support includes support groups and family therapy to improve interpersonal relationships.
- Hospitalization may be needed for stabilization in severe cases, particularly for suicidal ideation.
Other Aspects of Mood Disorders
- Examining personal feelings and reactions is part of the therapeutic relationship.
- Nurses need to recognize personal biases and emotional responses.
- Prevalence of suicide in the U.S. is high, with over 48,000 deaths per year.
- Increased suicide risk in older adults, adolescents, and vulnerable populations.
- Specific risk factors should be considered for each population, including mental illness, history of suicide attempts, chronic pain, substance abuse, social isolation, family history of suicide, and trauma.
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Description
Test your knowledge on sleep disorders, their assessments, and treatment strategies. This quiz covers polysomnography, Cognitive Behavioral Therapy for Insomnia, and pharmacological interventions. Enhance your understanding of sleep quality and related medical treatments.