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 – 8 Jan 2026
Concepts Covered:
- Oncology Disorders
- Intraoperative Nursing
- Microbiology
- Anxiety Disorders
- Disorders of Pancreas
- Respiratory Emergencies
- Noninfectious Respiratory Disorder
- Shock
- Emergency Care of the Trauma Patient
Study Plan Lessons
Nursing Care Plan (NCP) for Lung Cancer
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Thoracic Surgery (Lobectomy, Pneumonectomy) 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)
Minimally-Invasive Thoracic Surgery (VATS) for Progressive Care Certified Nurse (PCCN)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Bleeding for Certified Emergency Nursing (CEN)
Diabetic Emergencies for Certified Emergency Nursing (CEN)