Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
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Outline
Psychological Disorders (Anxiety, Depression)
Definition/Etiology:
- Anxiety/Depression Definitions
- Depression:
- Feelings of sadness, hopelessness, and/or loss of interest
- Anxiety:
- Feelings of intense, excessive, and persistent worry
- Depression:
- Will discuss causes in dialogue (physical, mental, relates to past experiences)
Pathophysiology:
- Signs/Symptoms
- Depression
- Sad
- Hopeless
- Loss of interest
- Changes to sleep (too much or too little)
- Changes to appetite (too much or too little)
- Anxiety/restlessness
- Thoughts of death/suicide
- Anxiety
- Feeling nervous/panic
- Increased heart rate
- Weak/tired/not sleeping
- Avoid things that trigger
- Depression
Noticing: Assessment & Recognizing Cues:
- Nurse’s Role
- Stay calm
- Supportive
- Decrease symptoms/triggers
- Suicide prevention
Interpreting: Analyzing & Planning:
- Safety measures: Prevent Injury
- Suicide prevention
- Ask every patient
- Identify those at risk
- Implement safety measures
Responding: Patient Interventions & Taking Action:
- Medications & Considerations
- Depression
- SSRIs
- SNRIs
- Atypical antidepressants
- Tricyclic antidepressants
- MAOIs
- Mood stabilizers
- Antipsychotics
- Anxiety
- Anti-anxiolytics
- Antidepressants
- Beta-blockers
- Considerations
- General wellness
- Pregnancy
- Sleep needs
- Avoid alcohol/drugs
- Don’t stop antidepressants abruptly
Reflecting: Evaluating Patient Outcomes:
- N/A
Linchpins (Key Points):
- Highs and Lows can be separate or intermixed
- Depression = s/s typically low
- Anxiety= a/a typically high
- Support & Safety= nurse’s role
Transcript
References
- Education Development Center. (2022). Zero suicide toolkit. https://zerosuicide.edc.org/toolkit/zero-suicide-toolkitsm.
- Mayo Clinic. (2022a). Diagnosis & treatment. Anxiety disorders. https://www.mayoclinic.org/diseases-conditions/anxiety/diagnosis-treatment/drc-20350967.
- Mayo Clinic. (2022b). Diagnosis & treatment. Depression (major depressive disorder). https://www.mayoclinic.org/diseases-conditions/depression/diagnosis-treatment/drc-20356013.
- Mayo Clinic. (2022c). Symptoms & causes. Anxiety disorders. https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961.
- Mayo Clinic. (2022d). Symptoms & causes.
Adaptive Brain SIMCLEX Study Plan – 1 Sep 2025
Concepts Covered:
- Male Reproductive Disorders
- Postoperative Nursing
- Anxiety Disorders
- Acute & Chronic Renal Disorders
- Disorders of Pancreas
- Central Nervous System Disorders – Brain
- Neurological Emergencies
- Respiratory Emergencies
- Emergency Care of the Cardiac Patient
- Vascular Disorders
Study Plan Lessons
Nursing Care Plan (NCP) for Epididymitis
Hemorrhage Nursing Interventions for Certified Perioperative Nurse (CNOR)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Seizure Disorder for Progressive Care Certified Nurse (PCCN)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Vascular Disease for Progressive Care Certified Nurse (PCCN)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Hypertension for Certified Emergency Nursing (CEN)
Renal Failure for Certified Emergency Nursing (CEN)