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 – 7 Jul 2026
Concepts Covered:
- Cardiac Disorders
- Male Reproductive Disorders
- Musculoskeletal Trauma
- Anxiety Disorders
- Urinary System
- Shock
- Shock
- Trauma-Stress Disorders
- Endocrine and Metabolic Disorders
Study Plan Lessons
Heart Failure – Live Tutoring Archive
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan for Amputation
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Amputation for Certified Emergency Nursing (CEN)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Anxiety Disorders (PTSD, Anxiety, Panic Attack) for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Nursing Case Study for Cardiogenic Shock
Nursing Care Plan (NCP) for Fluid Volume Deficit