NUR 1212 Exam 2 – Study Guide and Exam Review Material
mood - correct answer ✔✔the way a person feels
affect - correct answer ✔✔the observable response a person has to his or her feelings
persistent depressive disorder - correct answer ✔✔AKA dysthymia, 2+ years for adults, 1+ for
adolescents, symptom free, last no longer than 2 months, blue mostly every day, low self-
esteem, low energy
bipolar 1 vs bipolar 2 - correct answer ✔✔bipolar 1-
full manic and depressive episodes, severe in onset, median onset is 18 years
bipolar 2-
alternating periods of extremely depressed and mildly elevated moods, less exaggerating than
bipolar 1, higher prevalence in women
major depressive disorder - correct answer ✔✔one of the most common, severe depressive
mood symptoms that interfere with functional status (not showering, eating, etc), employment
or relationship that last for at least a 2 week period of time, most likely to occur more than
once, average onset is 33 years and more common in hispanics and women
brain stimulation therapy - correct answer ✔✔second line to other therapies, electroconclusive:
medically induced seizures, magnetic: instead of electricity. side effects- diarrhea, vomiting,
drowsiness, muscle weakness, lack of coordination
SSRI side effects - correct answer ✔✔n/v/d, nervousness, agitation, restlessness, dizziness,
reduce sexual desire, erectile dysfunction, drowsiness, insomnia, weight gain/loss, headache,
dry mouth
,MAOIs - correct answer ✔✔monoamine oxidase inhibitors
also for refractory, but lesser used because of hypertensive crisis possibility when interacting
with tyramine containing foods
SNRI - correct answer ✔✔serotonin norepinephrine reuptake inhibitor
best for refractory depression
SSRI - correct answer ✔✔selective serotonin reuptake inhibitor- first line of choice
must wait 3 weeks to see results, and often dose is increased after 3 weeks
mood stabilizers - correct answer ✔✔lithium, antiepileptic drugs, second generation
antipsychotics
antidepressants - correct answer ✔✔serotonin reuptake inhibitors, norepi-dopamine reuptake
inhibitors, tricyclic antidepressants, serotonin-norepi reuptake inhibitors, monoamine oxidase
inhibitors
pyschotherapy types - correct answer ✔✔cognitive and behavioral therapy, interpersonal
therapy, family focused therapy, play therapy, sand tray therapy, light therapy, animal therapy,
art therapy
mental status exam - correct answer ✔✔in addition to vitals
general appearance, motor activity, mood, affect, speech, alertness & orientation
, vegetative functioning - correct answer ✔✔refers to appetite, sleep and energy level
normally reduced energy levels, but still functioning with some ADLs, sexual desire/libido is a
way of measuring this
anhedonia - correct answer ✔✔a diminished ability to experience pleasure
assessment presentation - correct answer ✔✔agitation, sadness, elation, blunting, monotone
speech, irritability, lack of interest in normal activities
risk factors for individuals - correct answer ✔✔stress, early trauma, neglect, abuse, family
history, comorbid physical and psychiatric disorders, substance abuse/dependency, personality
disorders
risk factors for populations - correct answer ✔✔women (2-3 times higher than men),
adolescents/early adult, highest frequency during late twenties/early thirties and again in late
60s
consequences of mood disturbances - correct answer ✔✔high use of medical care, reduced
cerebral cortex blood flow, abnormal metabolism of phosphorus, disruption of
neurotransmitters (dopamine, norepinephrine, serotonin), potential for suicide and suicidal
ideation, high energy or lethargy
hypomania - correct answer ✔✔unstable affective state
agitated and possibly euphoric, but to a less severe degree than mania with less impairment
prefrontal cortex and anterior cingulate cortex - correct answer ✔✔responsible for judgment,
decision making, problem solving, feelings, and emotional responses
mood - correct answer ✔✔the way a person feels
affect - correct answer ✔✔the observable response a person has to his or her feelings
persistent depressive disorder - correct answer ✔✔AKA dysthymia, 2+ years for adults, 1+ for
adolescents, symptom free, last no longer than 2 months, blue mostly every day, low self-
esteem, low energy
bipolar 1 vs bipolar 2 - correct answer ✔✔bipolar 1-
full manic and depressive episodes, severe in onset, median onset is 18 years
bipolar 2-
alternating periods of extremely depressed and mildly elevated moods, less exaggerating than
bipolar 1, higher prevalence in women
major depressive disorder - correct answer ✔✔one of the most common, severe depressive
mood symptoms that interfere with functional status (not showering, eating, etc), employment
or relationship that last for at least a 2 week period of time, most likely to occur more than
once, average onset is 33 years and more common in hispanics and women
brain stimulation therapy - correct answer ✔✔second line to other therapies, electroconclusive:
medically induced seizures, magnetic: instead of electricity. side effects- diarrhea, vomiting,
drowsiness, muscle weakness, lack of coordination
SSRI side effects - correct answer ✔✔n/v/d, nervousness, agitation, restlessness, dizziness,
reduce sexual desire, erectile dysfunction, drowsiness, insomnia, weight gain/loss, headache,
dry mouth
,MAOIs - correct answer ✔✔monoamine oxidase inhibitors
also for refractory, but lesser used because of hypertensive crisis possibility when interacting
with tyramine containing foods
SNRI - correct answer ✔✔serotonin norepinephrine reuptake inhibitor
best for refractory depression
SSRI - correct answer ✔✔selective serotonin reuptake inhibitor- first line of choice
must wait 3 weeks to see results, and often dose is increased after 3 weeks
mood stabilizers - correct answer ✔✔lithium, antiepileptic drugs, second generation
antipsychotics
antidepressants - correct answer ✔✔serotonin reuptake inhibitors, norepi-dopamine reuptake
inhibitors, tricyclic antidepressants, serotonin-norepi reuptake inhibitors, monoamine oxidase
inhibitors
pyschotherapy types - correct answer ✔✔cognitive and behavioral therapy, interpersonal
therapy, family focused therapy, play therapy, sand tray therapy, light therapy, animal therapy,
art therapy
mental status exam - correct answer ✔✔in addition to vitals
general appearance, motor activity, mood, affect, speech, alertness & orientation
, vegetative functioning - correct answer ✔✔refers to appetite, sleep and energy level
normally reduced energy levels, but still functioning with some ADLs, sexual desire/libido is a
way of measuring this
anhedonia - correct answer ✔✔a diminished ability to experience pleasure
assessment presentation - correct answer ✔✔agitation, sadness, elation, blunting, monotone
speech, irritability, lack of interest in normal activities
risk factors for individuals - correct answer ✔✔stress, early trauma, neglect, abuse, family
history, comorbid physical and psychiatric disorders, substance abuse/dependency, personality
disorders
risk factors for populations - correct answer ✔✔women (2-3 times higher than men),
adolescents/early adult, highest frequency during late twenties/early thirties and again in late
60s
consequences of mood disturbances - correct answer ✔✔high use of medical care, reduced
cerebral cortex blood flow, abnormal metabolism of phosphorus, disruption of
neurotransmitters (dopamine, norepinephrine, serotonin), potential for suicide and suicidal
ideation, high energy or lethargy
hypomania - correct answer ✔✔unstable affective state
agitated and possibly euphoric, but to a less severe degree than mania with less impairment
prefrontal cortex and anterior cingulate cortex - correct answer ✔✔responsible for judgment,
decision making, problem solving, feelings, and emotional responses
