NURS 663 EXAM 1/ Study Guide Maryville- Actual
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What is the DSM criteria for Major Depressive Disorder? -
Answer-**no history of mania, hypo, or mixed symptoms
symptoms >2 weeks
must have: sadness, anhedonia (loss pleasure/interest)
4 of following: - appetite/sleep changes, psychomotor
retardation, lack of energy, guilt/worthlessness, issues w/
concentration, thoughts suicide/death
What are the "frequency" modifiers for MDD? - Answer-
episodic: symptoms dissipate over time
recurrent: likely to reappear in future
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subclinical: sadness + 3 symptoms > 10 days (full criteria
not met)
how is the severity of depression rated? - Answer-- Mild:
no suicidal thoughts/death wishes
- Moderate: some thoughts of death/self-harm
- Severe: plan/attempted
what other modifiers might be present with diagnosis of
MDD? - Answer-- With psychotic features: hallucinations,
paranoia
- In partial remission: some symptoms still present, but full
criteria not met; period without any significant
symptoms lasting less than 2 months
- In full remission: no signs/symptoms >2 months
- Unspecified: symptoms vague, hard to tell
DSM 5 for bipolar I disorder - Answer-depression + mania
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DSM 5 for bipolar 2 disorder - Answer-depression +
hypomania
what is the #1 predictor of suicide? - Answer-
Hopelessness and loneliness
what are risk factors for suicide? - Answer-- Gender: men
are more likely to complete suicide
- Age: men 45 years +; women 55 years +
o Suicide is the 3rd leading cause of death in 15-24-year-
olds
- Race: Caucasian, Native American, Alaskan native, and
immigrants
- Divorce
- Widows
- High-ranking jobs and unemployment
- Physicians
- MDD most common mental illness associated,
schizophrenia, and alcohol use disorder
- Past suicide attempt (might be the best indicator)
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what is the criteria for involuntary commitment? - Answer-
Danger to self (suicide)
Danger to others (homicide)
Gravely disabled d/t mental illness (unable to provide food,
clothing, shelter)
- Courts must have probable case hearing within 96 hours
of admission
What is vagus nerve stimulation? - Answer---For Tx of
treatment-resistant MDD
implantation of a device that causes intermittent electrical
stimulation of vagus nerve
Patient comes in with symptoms of mania followed by
periods of depression; what is it? - Answer-bipolar 1
patient comes in with hypomania/regular mood (euthymic)
followed by periods of depression, what is it? - Answer-
bipolar 2
how many symptoms of mania must you have to have
"full" mania? - Answer-seven of thirteen