NURS 180 Exam 2B Worksheet (ATI and Varcarolis)| GRADED SOLUTION

NURS 180 Exam 2B Worksheet (ATI and Varcarolis)1. Signs/symptoms of depression in an adult/adolescent (ATI p. 70) a. Anergia i. Lack of energy b. Anhedonia i. Lack of pleasure in normal activities c. Anxiety d. Sluggish/unable to relax e. Vegetative findings – constipation, sleep disturbance, decrease interest in sexual activity, change in eating patterns f. Somatic reports – fatigue, GI changes, pain g. Look sad with blunted affect h. Poor grooming & lack of hygiene i. Psychomotor retardation – slow movement & slumped posture i. Psychomotor agitation – restlessness, pacing, finger tapping j. Socially isolated, little/no interaction k. Slowed speech, decreased verbalization, delayed response – sigh often l. Irritable, chronic pain, low self-esteem, people with depression & pain will make both depression & pain worse – can sometimes treat pain with antidepressant 2. ECT – used as a last point of treatment a. Purpose i. can be used to subdue extreme manic behavior (ATI p. 51, 77) ii. Induces brief seizure activity while the client is anesthetized iii. Used when pharmacological treatment is not responsive b. Who is a candidate? i. Suicidal Pt ii. Pts who have rapid cycling iii. MDD disorder/Schizophrenia spectrum disorders/Acute manic episodes c. How does it work physiologically? i. Subdues extreme manic behavior especially when pharmacological therapy such as lithium has not worked ii. Seizure activity produced by ECT may enhance the effects of neurotransmitters (serotonin, dopamine & norepinephrine) in the brain d. s/s – maybe not eating much, poor hygiene, used for melancholy, someone who doesn’t meet ADL, anhedonia, withdrawn, takes over entire body e. frequent ECT will affect the memory, short and longer term. May not come back 3. Medical conditions that mimic MDD (ATI p. 69) a. Medical condition - hypothyroidism 4. Depression risk factors (ATI p. 70) a. Family history b. Previous history c. Sex – female i. Twice as common than in males ii. Affects btwn age 15-40 d. Older adults over age 65 e. Neurotransmitter deficiencies i. Serotonin deficiency 1. Affects mood, sexual behavior, sleep cycles, hunger and pain perception This study source was Nadoedrebyp1i0n0e0p00h8r0i8n72e05d4e8 ffirocmieCnocuriseesHe