NR 601 / NR601 Primary Care of the Maturing and Aged Family Practicum Midterm Review | Rated A Complete Guide | Latest 2021/2022 | Chamberlain College

NR 601 / NR601 Primary Care of the

Maturing and Aged Family Practicum

Midterm Review | Rated A Complete

Guide | Latest 2021/2022 |

Chamberlain College

1. What are signal symptoms of depression?

- Feeling sad

- Discouraged

- Lack of pleasure in usual activities

- Unmotivated

- Low energy

- Sleep/appetite disturbances

2. The symptoms of depression may encompass what 4 domains?

- Affect/mood

- Cognition

- Physiological

- Behavior

3. What is treatment goal for depression?

- Full remission and recovery

4. What are first-line meds for depression?

- SSRIs:

- fluoxetine (Prozac)

- sertraline (Zoloft)

- paroxetine (Paxil)

- citalopram (Celexa)

- escitalopram (Lexapro)

- flovoxamine (Luvox)

5. What is transient insomnia?

- Lasts a few nights.

- Related to emotional stress.

- Usually resolves w/out meds when elderly adapts to or removes change.

6. What is short-term insomnia? \

- Similar to transient insomnia.

- Lasts <1mo

- Related to acute medical/psychological condition or to persistent situational

stress.

7. What is chronic insomnia?

- Lasts >1mo

- Results from age-related changes in sleep/chronic stressors.

8. What is treatment for insomnia?

- Avoid caffeine for 12hrs before bedtime.

- D/C ETOH/unnecessary sleep-interrupting drugs.

- OTC melatonin or Rx ramelteon can be tried; if ineffective, initiate shortacting sedative-hypnotic like zolpidem (Ambien) or zaleplon (Sonata) at

lowest dose before desired bedtime for 1wk or less.

- Suggest spacing dose to every other day to avoid SE.

- If benzos used, temazepam (Restoril) is relatively short-acting; if ineffective,

re-eval dx and restructure treatment modalities.


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