NUR 333 Exam 1 Study Guide.pdf - Page 1 of 10 NUR 33 Exam#1...

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Page of 1 10 NUR 33 Exam #1 Study Guide Be able to identify signs/symptoms of MDD, Bipolar Disorder Major Depressive Disorder Signs & Symptoms Persistently depressed mood (minimum of 2 weeks) A depression episode may be 5-6 months Anhedonia (inability to feel pleasure) Anergia (abnormal lack of energy) Decreased concentration Worthlessness Excessive guilt Can’t make decisions 70% also have anxiety Suicidal thoughts DSM Criteria For Major Depressive Disorder Five or more of the following symptoms have been present during the same 2 week period and represent a change from the previous functioning AT LEAST 1 of the symptoms is (1) depressed mood or (2) loss of interest of pleasure Don’t include symptoms that are clearly attributable to another medical condition Depressed mood most of the day, nearly every day Diminished interest or pleasure in all activities every day Insomnia or hypersomnia every day Psychomotor agitation or retardation nearly every day Fatigue or loss of energy nearly every day Feelings of worthlessness or excessive or inappropriate guilt nearly every day Diminished ability to think or concentrate or indecisiveness nearly every day Recurrent thoughts of death or suicidal ideation without a specific plan, or a suicide attempt The symptoms cause significant distress or impairment in social, occupational, or other areas of functioning The episode is not attributed to effects of a substance or another medical condition There has NEVER been a manic or hypomanic episode Vegetative Signs of Depression Poor appetite Insomnia Constipation Changes in libido Inability to take care of basic needs
Page of 2 10 Bipolar Disorder Signs & Symptoms Bipolar I (p. 223) Persistent elevated, expansive or irritable mood Increased energy or activity (goal directed) Severe impairment of functioning Requires hospitalization Not attributable to substance, medication or medical condition Marked by shifts in mood, energy, and ability to function Experiences mania (period of intense mood disturbances with persistent elevation, expansiveness, irritability, and extreme goal directed activity or energy.. can last around 1 week.. manic episodes can mix between depression and anxiety.. manic episodes start off super happy and euphoric, they don’t sleep or eat, they engage in hazardous activities because they feel so powerful, they experience hallucinations or delusions, and dramatically disturbed thoughts. After this utter exhaustion they usually collapse into depression… psychotic features accompany mania Bipolar II (p.223) Less dramatic presentation Underdiagnosed Hospitalization is rare Assess for suicidal potential Hypomania episodes and major depressive episodes Psychotic features do not accompany hypomania but can accompany the depressive side of the disorder Hypomania is not severe enough to cause serious impairment in occupational or self functioning Depressive symptoms are very profound DSM-5 Criteria For Bipolar I Disorder (p. 223)

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