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 – 12 May 2026
Concepts Covered:
- Labor Complications
- Musculoskeletal Trauma
- Intraoperative Nursing
- Microbiology
- Emergency Care of the Cardiac Patient
- Postoperative Nursing
- Anxiety Disorders
- Central Nervous System Disorders – Brain
- Neurological Emergencies
- Liver & Gallbladder Disorders
Study Plan Lessons
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan for Compartment Syndrome
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Wound Classification for Certified Perioperative Nurse (CNOR)
Wound Dressing Maintenance for Certified Perioperative Nurse (CNOR)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Seizure Disorder for Progressive Care Certified Nurse (PCCN)
Emergent Delivery for Certified Emergency Nursing (CEN)
Placenta Previa for Certified Emergency Nursing (CEN)
Compartment Syndrome for Certified Emergency Nursing (CEN)
Cholecystitis for Certified Emergency Nursing (CEN)