REMEDIATION FULL SOLUTION 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ What factors increase suicide risk in depression? Answer: Prior
suicide attempts, comorbid anxiety, substance use, psychosis,
chronic illness, low support/self-esteem.
◉ What are the criteria for Major Depressive Disorder (MDD)?
Answer: ≥5 symptoms for ≥2 weeks with major functional
impairment.
◉ What are the top symptoms of Major Depressive Disorder?
Answer: Depressed mood, sleep/appetite change, poor
concentration, psychomotor change, anhedonia, suicidal ideation.
◉ What characterizes psychotic depression? Answer: Depression
with hallucinations or delusions.
◉ When does postpartum depression typically onset? Answer:
Within 4 weeks after childbirth; newborn harm risk.
,◉ What is Seasonal Affective Disorder? Answer: Occurs in winter
months; responds to light therapy.
◉ What are the strongest risk factors for depression? Answer:
Family history and personal history of depression.
◉ What neurotransmitter changes are associated with depression?
Answer: Low serotonin and low norepinephrine.
◉ What are key findings in depression? Answer: Anergia, anhedonia,
vegetative symptoms (sleep/eating changes), somatic pain.
◉ What is the priority nursing action in depression? Answer: Assess
and maintain suicide safety.
◉ What are some therapeutic communication techniques for
depression? Answer: Make observations, use simple sentences,
allow time to respond, presence even in silence.
◉ What should patients be taught about antidepressants? Answer:
Do not stop abruptly; full effect takes weeks; avoid alcohol &
hazardous activities; monitor suicidal thoughts.
,◉ What is an example of a TCA and its cautions? Answer:
Amitriptyline — orthostatic hypotension & anticholinergic effects (↑
fluids, fiber, gum).
◉ What is a key teaching point for MAOIs? Answer: Avoid tyramine
foods to prevent hypertensive crisis.
◉ What are the prototypes of SSRIs? Answer: Paroxetine, Fluoxetine,
Sertraline, Citalopram.
◉ What are major adverse effects of SSRIs? Answer: Sexual
dysfunction, insomnia/agitation, weight gain, GI bleed,
hyponatremia.
◉ What are the signs of serotonin syndrome? Answer: Confusion,
agitation, fever, diaphoresis, hyperreflexia → STOP med & notify
provider.
◉ What are the contraindications for SSRIs? Answer: Do not
combine with MAOIs, TCAs, or St. John's wort.
◉ What caution points are associated with SNRIs? Answer: May ↑
BP; risk of hyponatremia and weight loss; avoid in hepatic disease
(Duloxetine).
, ◉ What is the purpose of ECT? Answer: Used when medications are
ineffective — nurse monitors pre- and post-procedure.
◉ How does exercise benefit individuals with depression? Answer:
30 min/day, 3-5 days/week → improves mood & reduces relapse
risk.
◉ What indicators suggest antidepressants are working? Answer:
Improved mood, sleep, coping, concentration, ADLs, social
interaction.
◉ What is the definition of schizophrenia? Answer: Psychotic
symptoms ≥6 months with major impairment in functioning.
◉ What are positive vs. negative symptoms in schizophrenia?
Answer: Positive = added behaviors (hallucinations, delusions);
Negative = losses (flat affect, anhedonia, avolition).
◉ What neurotransmitter is primarily involved in psychosis?
Answer: Dopamine dysregulation.
◉ What are command hallucinations? Answer: Urgent safety
priority; voices telling client to harm self/others → ensure safety.