Maryville NURS 623 Exam 3 Questions And
Answers With Latest Solutions
What is the most common psychiatric disorder in the U.S? Correct Answers: Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Correct Answers:
excessive anxiety and worry of variety of things for at least 6 months
What are the DSM-5 symptom criteria for a major depressive disorder? Correct Answers: Five or
more symptoms including at least one depressed mood or loss of interest present in the same two
weeks and present nearly every day
differential diagnoses that would mimic the symptoms of depression? Correct Answers: *Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? Correct Answers: *Age
*Gender
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
What are the common presenting symptoms of depression in the geriatric patient? Correct Answers:
Somatic (general pain)
Psychology (feeling of guilt/worry, suicidal, memory)
Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
What are the NON-pharmacologic treatments for management for major depressive disorder?
Correct Answers: Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive disorder? Correct
Answers: SSRI, SNRI, TCA, MAO
Names of common SSRIs Correct Answers: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs Correct Answers: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? Correct Answers: a slower
metabolism requires lower dosing; greater risk of falls, osteoporosis, fractures
, What are the pharmacologic versus nonpharmacologic treatment for management for general anxiety
disorder? Correct Answers: non-pharmacological interventions of cognitive behavioral therapy has
proven equal results to SSRI pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole Correct Answers: Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ? Correct Answers: identification of at least one-lifetime mania
episode must have occurred
What is the symptom criteria for BD II ? Correct Answers: identification of at least one hypomania
episode and one major depressive episode must have occurred
What is the symptom criteria for diagnosing unipolar (depression) Correct Answers: persistently
depressed mood or loss of interest in activities, causing significant impairment in daily life (no
mania/hypomania)
How do you assess suicide risk (consider mnemonic SAD PERSONS) Correct Answers: S-ex
A-ge
D-epression
P-revious attempt
E-thanol abuse
R-ational thinking loss
S-ocial support loss
O-rganized plan
N-o spouse
S-ickness
How would you identify intimate partner violence? Correct Answers: *reluctant to speak in front of
partner
*gives evasive answers
*Overly protective or controlling partner
What are the stages of grieving? (DABDA) Correct Answers: Denial
Anger
Bargaining
Depression
Acceptance
What are the phases of grief? (Aca) Correct Answers: Avoid
Confront
Accomadate
Acknowledge the loss
Reacting to the separation
Answers With Latest Solutions
What is the most common psychiatric disorder in the U.S? Correct Answers: Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Correct Answers:
excessive anxiety and worry of variety of things for at least 6 months
What are the DSM-5 symptom criteria for a major depressive disorder? Correct Answers: Five or
more symptoms including at least one depressed mood or loss of interest present in the same two
weeks and present nearly every day
differential diagnoses that would mimic the symptoms of depression? Correct Answers: *Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? Correct Answers: *Age
*Gender
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
What are the common presenting symptoms of depression in the geriatric patient? Correct Answers:
Somatic (general pain)
Psychology (feeling of guilt/worry, suicidal, memory)
Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
What are the NON-pharmacologic treatments for management for major depressive disorder?
Correct Answers: Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive disorder? Correct
Answers: SSRI, SNRI, TCA, MAO
Names of common SSRIs Correct Answers: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs Correct Answers: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? Correct Answers: a slower
metabolism requires lower dosing; greater risk of falls, osteoporosis, fractures
, What are the pharmacologic versus nonpharmacologic treatment for management for general anxiety
disorder? Correct Answers: non-pharmacological interventions of cognitive behavioral therapy has
proven equal results to SSRI pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole Correct Answers: Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ? Correct Answers: identification of at least one-lifetime mania
episode must have occurred
What is the symptom criteria for BD II ? Correct Answers: identification of at least one hypomania
episode and one major depressive episode must have occurred
What is the symptom criteria for diagnosing unipolar (depression) Correct Answers: persistently
depressed mood or loss of interest in activities, causing significant impairment in daily life (no
mania/hypomania)
How do you assess suicide risk (consider mnemonic SAD PERSONS) Correct Answers: S-ex
A-ge
D-epression
P-revious attempt
E-thanol abuse
R-ational thinking loss
S-ocial support loss
O-rganized plan
N-o spouse
S-ickness
How would you identify intimate partner violence? Correct Answers: *reluctant to speak in front of
partner
*gives evasive answers
*Overly protective or controlling partner
What are the stages of grieving? (DABDA) Correct Answers: Denial
Anger
Bargaining
Depression
Acceptance
What are the phases of grief? (Aca) Correct Answers: Avoid
Confront
Accomadate
Acknowledge the loss
Reacting to the separation
