NURS 663 - Psychiatric Mental Health Diagnosis and Management II
Exam 1
Question:
what is something you should watch out for if a patient is on multiple antidepressants?
Answer:
SIADH
Question:
what medical problems mimic mood disorders?
Answer:
hypothyroid- depression hyperthyroid- mania
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Question:
involuntary admission
Answer:
hurt yourself hurt someone else inability to care for self
Question:
Carbamazepine (Tegretol)
Answer:
mood stabilizer
indication: bipolar disorder
major side effects:
CYP 450: (inducer- speeds up metabolism of other drugs)
patient education:
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Question:
what 3 medications must have blood draws associated with them?
Answer:
carbamazepine, lithium, valproic acid
Question:
Mood Disorder Questionnaire
Answer:
Screens for Bipolar Disorder
7+ is a positive screening
4-5 might be hypomania
Question:
how is the PHQ-9 scored
Answer:
1-4 minimal depression 5-9 mild depression 10-14 moderate depression 15-19 moderately severe 20 + severe 3 / 4
Question:
PHQ-9
Answer:
assessment that evaluates the degree of depression
Question:
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
Question:
What are the "frequency" modifiers for MDD?
Answer:
episodic: symptoms dissipate over time
recurrent: likely to reappear in future
subclinical: sadness + 3 symptoms > 10 days (full criteria not met)
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