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CMN 552 Final Exam Module 1-5: Mood Disorders, Anxiety, Trauma, Schizophrenia, Special Populations – Actual Q&A

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This comprehensive study guide covers the CMN 552 final exam across five modules. It contains actual exam questions with verified correct answers and detailed rationales. Module 1 focuses on mood disorders: major depressive disorder in youth (irritability vs. dysphoria), disruptive mood dysregulation disorder (DMDD) criteria, persistent depressive disorder (dysthymia), bipolar disorder genetics (75% heritability for bipolar, 37% for MDD), peripartum depression, cyclothymia, DIGFAST mnemonic for mania, bright light therapy indications/contraindications, CBT (automatic thoughts, intermediate beliefs, cognitive schemata), interpersonal psychotherapy, mindfulness therapy, ECT contraindications, antidepressant pharmacology (SSRIs, SNRIs, TCAs, bupropion, trazodone, mirtazapine), Celexa cardiac risks, lamotrigine titration (Stevens-Johnson prevention), lithium monitoring, valproate side effects (PCOS, hair loss, weight gain), and treatment-resistant MDD adjuncts (aripiprazole, quetiapine). Module 2 covers anxiety disorders: neurotransmitters (GABA, serotonin, norepinephrine, glutamate), panic disorder, GAD (lifetime prevalence 5%, hallmark excessive worry), separation anxiety, specific phobia (exposure therapies: in vivo, imaginal, interoceptive), agoraphobia differentials, levels of anxiety (mild, moderate, severe, panic), safety behaviors/signals, beta-blockers for performance anxiety, buspirone side effects, clonazepam indications, and benzodiazepine tapering (alprazolam 0.25mg/week). Module 3 covers trauma and stressor-related disorders: acute stress disorder, adjustment disorder, reactive attachment disorder, disinhibited social engagement disorder, dissociative identity disorder, depersonalization, amnesia types (localized, generalized, continuous, fugue), PTSD risk factors (female gender, childhood adversity, family psychiatric history), EMDR therapy, OCD neurocircuitry (orbitofrontal cortex, caudate, thalamus), trichotillomania/trichophagia, nightmares in REM sleep, PTSD pharmacotherapy (sertraline, paroxetine, trazodone, clonidine, guanfacine, risperidone, propranolol), and treatment of childhood OCD (fluvoxamine). Module 4 covers schizophrenia spectrum disorders: positive symptoms (hallucinations–auditory most common, visual, gustatory, olfactory, tactile/cenesthetic, delusions–persecutory, referential, nihilistic, grandiose, erotomanic, thought insertion/withdrawal), negative symptoms (alogia, anhedonia, avolition, asociality, flat affect), catatonic excitement, soft neurological signs, tangentiality, antipsychotic side effects (EPS, akathisia, hyperprolactinemia), cannabis interaction with olanzapine (↑50% concentration), cogentin for rigidity, first-line antipsychotics for schizoaffective disorder (Rexulti dosing), and FGA vs. SGA EPS profiles. Module 5 covers special populations, CAM, and transcultural nursing: gender identity, gender dysphoria, sexual orientation/identity, SSRIs in pregnancy (paroxetine, fluoxetine birth defects; sertraline preferred), neonatal adaptation syndrome, lamotrigine for bipolar in childbearing years, valproate teratogenicity (highest congenital malformation rate), fetal alcohol syndrome (70% neurodevelopmental effects), opioid agonist therapy in pregnancy (methadone, buprenorphine), GnRH for transgender youth puberty suppression, homelessness and mental illness (74-87% violence incidence), aromatherapy (lavender for insomnia), somatic therapies (exercise, dance therapy, animal-facilitated therapy, Snoezelen, massage), complementary vs. alternative medicine, biofeedback, ginkgo biloba for Alzheimer’s/anxiety/schizophrenia, and cultural concepts (culture, ethnicity, community, stereotyping, cultural norms). Ideal for CMN 552 final exam candidates, psychiatric-mental health nurse practitioner (PMHNP) students, and psychiatry residents.

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CMN 552 FINAL EXAM MODULE 1-5 NEWEST
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS GRADED A+
TESTED AND APPROVED!!!


MODULE 1: MOOD DISORDERS



Youth with major depressive disorder often display? - ✔✔✔ correct answer >
irritable mood rather than dysphoria.



mood disturbance symptoms in depression - ✔✔✔ correct answer > mood
change: painful arousal, hypersensitivity to unpleasant events,
insensitivity to pleasant events, insensitivity to unpleasant events,
reduced anticipatory pleasure, anhedonia affecting blunting, apathy



disruptive mood dysregulation disorder - ✔✔✔ correct answer > severe
recurrent temper outbursts manifested verbally (verbal rages) and/or
behaviorally (physical aggression toward people or property) that are
grossly out of proportion in intensity or duration to the situation or
provocation
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,disruptive mood dysregulation disorder Diagnostic Criteria - ✔✔✔ correct
answer > The temper outbursts occur, on average, three or more times per
week



The mood between temper outbursts is persistently irritable or angry
most of the day, nearly every day, and is observable by other



have been present for 12 or more months.



family and twin data collectively suggest that genes explain
approximately what percent of bipolar disorder and what percent of major
depression - ✔✔✔ correct answer > 75%, 37%


persistent depressive disorder - ✔✔✔ correct answer > depressed mood for
most of the day, for most days than not, as indicated by either subjective
account or observation by others, for at least 2 years



persistent depressive disorder characteristics - ✔✔✔ correct answer > 1. Poor
appetite or overeating.

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,2. Insomnia or hypersomnia.

3. Low energy or fatigue.

4. Low self-esteem.

5. Poor concentration or difficulty making decisions.

6. Feelings of hopelessness



Symptoms, characteristics, and potential complications of
Bipolar Postpartum - ✔✔✔ correct answer > Fifty percent of"postpartum"
major depressive episodes actually begin prior to delivery. Thus, these
episodes are referred to collectively as peripartum episodes. Women with
peripartum major depressive episodes often have severe anxiety and even
panic attacks.



Risk Factors for development of bipolar disorder - ✔✔✔ correct answer >
more common in high-income than in low-income countries Separated,
divorced, or widowed individuals have higher rates of bipolar I disorder.



A family history of bipolar disorder is one of the strongest and most
consistent risk factors for bipolar disorders.


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, individual has a manic episode with psychotic features, subsequent
manic episodes are more likely to include psychotic features.



common differential diagnosis for bipolar disorder - ✔✔✔ correct answer >
major depressive disorder, other bipolar disorders, GAD, Panic disorder,
PTSD, bipolar, substance/medication induced bipolar disorder,
schizoaffective disorder, adhd, disruptive mood dysregulation disorder,
personality disorders



differentiate depressive episodes in bipolar 1 disorder vs bipolar
II disorder - ✔✔✔ correct answer > bipolar 1 accompanied by manic episodes
bipolar II no manic just hypomanic



depressive episodes in bipolar II disorder - ✔✔✔ correct answer > bipolar II
disorder have greater chronicity of illness and spend,on average, more
time in the depressive phase of their illnes




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