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 – 14 Jul 2026
Concepts Covered:
- Labor and Delivery
- Depressive Disorders
- Oncology Disorders
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Postoperative Nursing
- Anxiety Disorders
- Intraoperative Nursing
- Upper GI Disorders
- Fetal Development
- Pregnancy Risks
- Terminology
Study Plan Lessons
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Testicular Cancer
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
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)
GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Dysrhythmias for Certified Emergency Nursing (CEN)
Alpha-fetoprotein (AFP) Lab Values