Exam 3 NUR 384 Review (Latest Update 2025) 100% Verified Questions and Answers, Exams of Nursing

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Exam 3 NUR 384

Review

(Latest Update

Verified

Questions and

Answers

Major Depressive Disorder (MDD) Diagnosis 5+ symptoms for at least 2 weeks. One symptom must be depressed mood or loss of interest/pleasure. Symptoms include depressed mood, diminished interest, weight changes, sleep disturbances, agitation, fatigue, guilt, concentration issues, and suicidal ideation. Persistent Depressive Disorder (PDD) Depressed mood for most of the day, more days than not, for at least 2 years. 2+ symptoms: poor appetite/overeating, insomnia/hypersomnia, low energy, low self-esteem, poor concentration, hopelessness. Differences between Major Depressive Disorder (MDD) and Persistent Depressive Disorder (PDD) MDD: 2 weeks duration, more intense symptoms, episodic. PDD: 2 years duration, less severe but chronic symptoms, constant.

Evaluate: Response to interventions, side effects. Selective Serotonin Reuptake Inhibitors (SSRIs) Purpose: Increase serotonin levels. Function: Block serotonin reuptake. Examples: Fluoxetine, Paroxetine, Citalopram, Sertraline. Side effects: Nausea, insomnia, weight gain, sexual dysfunction. Management: Monitor weight, diet, educate, report sexual issues. Serotonin Syndrome Symptoms Symptoms: Agitation, confusion, rapid heart rate, dilated pupils, diarrhea, muscle rigidity, fever, seizures. Client Advice: Stop medication, seek immediate medical attention, and avoid serotonergic drugs without consulting healthcare provider. Diagnosis Criteria for a Manic Episode in Bipolar Disorder Duration: At least 1 week or hospitalization.

Symptoms: Elevated mood, grandiosity, decreased sleep need, talkativeness, racing thoughts, distractibility, increased activity, risky pleasure activities. Mental State Examination (MSE) in Mania Flight of Ideas: Continuous, accelerated speech with abrupt topic changes. RN Process for Bipolar Disorder Assess: Rapid speech, sleep, impulsivity, mood, irritability. Implement: Safe environment, structure, limit setting, medication management. Goals: Mood stabilization, reduced impulsivity, improved sleep, safety. Evaluate: Response to interventions, mood, medication side effects. Bipolar Disorder Treatment Options Lithium: Mood stabilizer; monitor for toxicity.

Understanding the specific methods available or considered by the individual, like medications or weapons. Assessing Suicidal Intent Direct questioning to ascertain if the individual has intentions or a plan to act on their suicidal thoughts. Protective Factors Identifying reasons the individual might have for living or not acting on suicidal thoughts, such as family ties or personal goals. Support Systems in Suicide Risk Identifying individuals or groups that support the person, providing emotional or practical assistance. RN Assessment for Suicidal Patients Directly inquire about suicidal thoughts, plans, behaviors; evaluate severity, lethality, mood, impulsivity, reasons for living, and means. Implementation in Nursing for Suicidal Patients

Ensuring immediate safety, possibly requiring hospitalization, removing means of suicide, establishing trust, and collaborating with a healthcare team. Goals in Nursing for Suicidal Patients Immediate safety and stabilization, development of a safety plan, and connection to ongoing support and treatment. Evaluation in Nursing for Suicidal Patients Continuously reassessing suicide risk, monitoring responses to interventions, and adjusting plans as necessary. Follow up on support systems. Monitoring for Worsening Depression or Suicidality Some antidepressants might increase suicidal thoughts, especially in younger individuals. Behavioral Changes to Monitor Increased agitation, impulsivity, or aggression as potential side effects of medications. Identifying Serotonin Syndrome

Websites and Apps for Mental Health Support Digital platforms offering support and resources for those struggling with mental health issues. Symptoms & Diagnosis Criteria for Phobia Intense, persistent fear of a specific object, situation, or activity; avoidance of the feared object; fear disproportionate to actual danger. Symptoms & Diagnosis Criteria for Panic Disorder Recurrent unexpected panic attacks; persistent concern about more attacks or significant behavior changes due to attacks. Symptoms & Diagnosis Criteria for GAD Excessive worry for 6+ months, difficulty controlling worry, symptoms include restlessness, fatigue, concentration issues, irritability, muscle tension, sleep disturbance. Symptoms & Diagnosis Criteria for OCD Presence of obsessions and/or compulsions; obsessions are persistent thoughts/urges causing anxiety; compulsions are repetitive behaviors in response to obsessions.

MSE Changes for Phobia Elevated anxiety when exposed or discussing the specific fear. Mental State Examination (MSE) in Panic Disorder Observation of panic attacks, intense fear, palpitations, trembling during examination. Mental State Examination Changes for GAD Chronic, exaggerated worry and tension; appearance of being overly nervous or restless. MSE Changes for OCD Observation of ritualistic behaviors; discussions of intrusive, unwanted thoughts. Medications for Phobia & Safety Indications SSRIs (fluoxetine, paroxetine, sertraline); Monitor for worsening anxiety or suicidal ideation.

Techniques like deep breathing, progressive muscle relaxation, and meditation. Biofeedback for Anxiety Disorders Teaching control over physiological functions to reduce symptoms. RN Assessment for Anxiety Disorders Evaluate type and severity of anxiety symptoms; ask about triggers, frequency, and duration. Implementation in Nursing for Anxiety Disorders Ensure a calm environment, educate about the disorder, administer and monitor medications. Goals in Nursing for Anxiety Disorders Reduce frequency and severity of symptoms, improve coping skills, ensure adherence to the treatment plan. Evaluation in Nursing for Anxiety Disorders Monitor patient's response to interventions, regularly reassess anxiety levels and coping mechanisms.

Symptoms & Diagnosis for Derealization/Depersonalization Disorder Feelings of unreality or detachment; symptoms cause distress and impair functioning; not due to substances or other medical conditions. Symptoms & Diagnosis for Factitious Disorder Faking physical or psychological symptoms; absence of external rewards for the behaviors. Symptoms & Diagnosis for Somatic Symptom Disorder Excessive thoughts/feelings about physical symptoms causing significant disruption; high anxiety about health. Symptoms & Diagnosis for Functional Neurological Symptom Disorder Neurological symptoms inconsistent with recognized conditions; not feigned; causes distress or impairment. Symptoms & Diagnosis for DID Two or more distinct identity states; recurrent gaps in memory; causes significant distress and isn't a cultural practice.

Symptoms & Treatment for Bulimia Nervosa Binge eating followed by purging; fluctuating weight; treatment includes CBT, nutritional counseling, medications. RN Process for Eating Disorders Assess physical health and mental state, create a supportive environment, monitor for behaviors, educate about the disorder, set goals for recovery, evaluate treatment adherence. Assessing Physical Health in Eating Disorders Conduct thorough assessment including vital signs, weight, and potential health complications related to eating disorders. Assessing Mental State in Eating Disorders Evaluate the patient's body image, eating habits, and compensatory behaviors (like purging or excessive exercise). Implementation for Eating Disorders: Environment and Support Create a safe, non-judgmental environment; provide support during meal times; closely monitor for any purging behaviors.

Implementation for Eating Disorders: Education Educate both the patient and their family about the eating disorder and emphasize the importance of ongoing treatment. Goals in Nursing for Eating Disorders Restore physical health and weight, establish healthy eating patterns, improve self-esteem and body image, ensure engagement in consistent therapy. Evaluating and Adjusting Care in Eating Disorders Regularly monitor weight and vital signs; assess the patient's adherence to the treatment plan; continually re-evaluate and adjust recovery goals as needed.