Study 07 Mood Disorders with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What core mood or interest change characterizes a major depressive episode?
A major depressive episode includes depressed or irritable mood, or loss of interest or pleasure, plus other symptoms that cause distress or impaired functioning.
How do bipolar I and bipolar II differ?
Bipolar I disorder includes at least one manic episode. Bipolar II involves hypomanic and major depressive episodes.
Name several features of mania.
Mania can involve elevated or irritable mood, increased energy, reduced need for sleep, rapid speech, racing thoughts, distractibility, inflated self-esteem, and risky behavior.
What distinguishes hypomania from a more severe elevated episode?
Hypomania is a less severe elevated episode. A person may feel unusually productive and may not recognize the change as a problem.
Why ask about past mood elevation when assessing depression?
Ask about past periods of unusually high energy, reduced sleep, impulsivity, and changes noticed by others; a person may seek help only during depression.
What non-mood factors may mimic or worsen mood symptoms?
Medical conditions, prescribed medicines, alcohol, and other drugs can mimic or worsen mood symptoms, so assessment should consider them.
Why are antidepressants generally not used alone for bipolar depression?
Antidepressants used for bipolar depression are generally not used alone because they may trigger mania or rapid cycling.
What daily practices can support ongoing bipolar care?
Regular sleep and daily routines, mood tracking, and avoiding alcohol and non-prescribed drugs can support ongoing care.
How should a nurse begin asking about suicide risk?
Ask directly and calmly about suicidal thoughts; asking does not cause suicidal thoughts.
What are immediate nursing actions when suicide danger is imminent?
Stay with the person, notify the appropriate clinical team immediately, follow emergency procedures, and reduce access to potential means of harm according to policy.
Why is a “no-suicide contract” insufficient?
A promise or “no-suicide contract” is not a substitute for assessment and a practical safety plan.
How can a nurse communicate therapeutically with a person experiencing depression?
Use calm, nonjudgmental listening and open questions; acknowledge distress and avoid minimizing statements such as “Cheer up.”