Maryville NURS 623 Exam 3
What is the most common psychiatric disorder in the U.S? Correct Answer: Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Correct Answer:
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 Answer: 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 Answer: *Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? Correct Answer: *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 Answer:
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
Answer: Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive disorder? Correct
Answer: SSRI, SNRI, TCA, MAO
Names of common SSRIs Correct Answer: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs Correct Answer: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? Correct Answer: 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 Answer: 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 Answer: Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ? Correct Answer: identification of at least one-lifetime mania
episode must have occurred
What is the symptom criteria for BD II ? Correct Answer: 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 Answer: 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 Answer: 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 Answer: *reluctant to speak in front of
partner
*gives evasive answers
*Overly protective or controlling partner
What are the stages of grieving? (DABDA) Correct Answer: Denial
Anger
Bargaining
Depression
Acceptance
What are the phases of grief? (Aca) Correct Answer: Avoid
Confront
Accomadate
What is the most common psychiatric disorder in the U.S? Correct Answer: Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Correct Answer:
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 Answer: 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 Answer: *Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? Correct Answer: *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 Answer:
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
Answer: Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive disorder? Correct
Answer: SSRI, SNRI, TCA, MAO
Names of common SSRIs Correct Answer: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs Correct Answer: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? Correct Answer: 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 Answer: 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 Answer: Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ? Correct Answer: identification of at least one-lifetime mania
episode must have occurred
What is the symptom criteria for BD II ? Correct Answer: 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 Answer: 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 Answer: 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 Answer: *reluctant to speak in front of
partner
*gives evasive answers
*Overly protective or controlling partner
What are the stages of grieving? (DABDA) Correct Answer: Denial
Anger
Bargaining
Depression
Acceptance
What are the phases of grief? (Aca) Correct Answer: Avoid
Confront
Accomadate
