NR 547 FINAL EXAM ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)|AGRADE
most common mental illness in the United States - ANSWER: Anxiety disorders
-Anxiety impacts approximately 18% of the adult population and 25% of children
ages 13-17 each year
Obsessive-compulsive disorder (OCD) - ANSWER: characterized by persistent,
uncontrollable thoughts or actions that occur over an hour or more per day
-one of the top 20 illness-related disabilities worldwide
first line medication treatment: Generalized anxiety disorder - ANSWER: -SSRIs
-SNRIs
-Buspirone
-Drug Therapy at least 12 months
first line medication treatment: Panic disorder - ANSWER: -Paroxetine
-Sertraline
-Fluoxetine
-Drug therapy 6-9 months
first line medication treatment: Obsessive compulsive disorder - ANSWER: -
Fluoxetine
-Fluvoxamine
-Sertraline
-Paroxetine
-Clomipramine (TCA)
-Drug therapy for at least 1 year
first line medication treatment: Social anxiety disorder - ANSWER: -Sertraline
-Paroxetine
-Drug therapy takes 4 weeks to see effects
first line medication treatment: Post-traumatic stress disorder - ANSWER: -
Paroxetine
-Sertraline
Anxiety is often comorbid with _________________ as well as medical conditions
such as ____________, ___________, and ___________ - ANSWER: major
depression, COPD, asthma, diabetes
Generalized anxiety disorder (anxiety) - ANSWER: neurological condition
-characterized by persistent, uncontrollable worrying that causes emotional distress
-show symptoms on most days, for a period of at least six months
, -common symptoms of anxiety include restlessness, irritability, muscle tension,
fatigue, and sleep disturbances
-GAD is twice as common in women as in men
Patients with anxiety disorders often show increased activity in the ______________
and _______________ - ANSWER: amygdala and prefrontal cortex
Positron emission tomography (PET) scans have shown reduced
___________________ in patients with anxiety - ANSWER: serotonin binding
Risk factors for developing anxiety: - ANSWER: -genetic predisposition (family history
of anxiety)
-being female
-recent life stressors
-chronic physical illness
-lack of support during childhood
Anxiety Disorders - ANSWER: Generalized Anxiety Disorder (GAD)
Social Anxiety Disorder
Panic
Phobias
Agoraphobia
Adjustment Disorder with Anxiety
GAD often presents with physical symptoms, including: - ANSWER: restlessness or
edginess
fatigue
difficulty concentrating
irritability
muscle tension
sleep disturbance
Functional neuroimaging studies of GAD show: - ANSWER: increased activation of
the amygdala and reduced activation in the prefrontal cortex, indicating heightened
activation of the fear response with diminished capacity for reasoning
Harold is a 32-year-old who presents to the clinic with complaints of fatigue,
difficulty concentrating, and difficulty falling asleep at night. He states he worries
about finances, his performance at work, and his relationship, and his worries have
been "almost constant" for 8 months. He denies substance use and recently had a
normal physical exam. He feels that his relationship is suffering due to his constant
worry.
Based on the DSM-5-TR, does Harold meet diagnostic criteria for generalized anxiety
disorder? - ANSWER: Yes
Rationale: Harold meets the following diagnostic criteria for generalized anxiety
disorder: He has three symptoms associated with worry, including fatigue, difficulty
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)|AGRADE
most common mental illness in the United States - ANSWER: Anxiety disorders
-Anxiety impacts approximately 18% of the adult population and 25% of children
ages 13-17 each year
Obsessive-compulsive disorder (OCD) - ANSWER: characterized by persistent,
uncontrollable thoughts or actions that occur over an hour or more per day
-one of the top 20 illness-related disabilities worldwide
first line medication treatment: Generalized anxiety disorder - ANSWER: -SSRIs
-SNRIs
-Buspirone
-Drug Therapy at least 12 months
first line medication treatment: Panic disorder - ANSWER: -Paroxetine
-Sertraline
-Fluoxetine
-Drug therapy 6-9 months
first line medication treatment: Obsessive compulsive disorder - ANSWER: -
Fluoxetine
-Fluvoxamine
-Sertraline
-Paroxetine
-Clomipramine (TCA)
-Drug therapy for at least 1 year
first line medication treatment: Social anxiety disorder - ANSWER: -Sertraline
-Paroxetine
-Drug therapy takes 4 weeks to see effects
first line medication treatment: Post-traumatic stress disorder - ANSWER: -
Paroxetine
-Sertraline
Anxiety is often comorbid with _________________ as well as medical conditions
such as ____________, ___________, and ___________ - ANSWER: major
depression, COPD, asthma, diabetes
Generalized anxiety disorder (anxiety) - ANSWER: neurological condition
-characterized by persistent, uncontrollable worrying that causes emotional distress
-show symptoms on most days, for a period of at least six months
, -common symptoms of anxiety include restlessness, irritability, muscle tension,
fatigue, and sleep disturbances
-GAD is twice as common in women as in men
Patients with anxiety disorders often show increased activity in the ______________
and _______________ - ANSWER: amygdala and prefrontal cortex
Positron emission tomography (PET) scans have shown reduced
___________________ in patients with anxiety - ANSWER: serotonin binding
Risk factors for developing anxiety: - ANSWER: -genetic predisposition (family history
of anxiety)
-being female
-recent life stressors
-chronic physical illness
-lack of support during childhood
Anxiety Disorders - ANSWER: Generalized Anxiety Disorder (GAD)
Social Anxiety Disorder
Panic
Phobias
Agoraphobia
Adjustment Disorder with Anxiety
GAD often presents with physical symptoms, including: - ANSWER: restlessness or
edginess
fatigue
difficulty concentrating
irritability
muscle tension
sleep disturbance
Functional neuroimaging studies of GAD show: - ANSWER: increased activation of
the amygdala and reduced activation in the prefrontal cortex, indicating heightened
activation of the fear response with diminished capacity for reasoning
Harold is a 32-year-old who presents to the clinic with complaints of fatigue,
difficulty concentrating, and difficulty falling asleep at night. He states he worries
about finances, his performance at work, and his relationship, and his worries have
been "almost constant" for 8 months. He denies substance use and recently had a
normal physical exam. He feels that his relationship is suffering due to his constant
worry.
Based on the DSM-5-TR, does Harold meet diagnostic criteria for generalized anxiety
disorder? - ANSWER: Yes
Rationale: Harold meets the following diagnostic criteria for generalized anxiety
disorder: He has three symptoms associated with worry, including fatigue, difficulty
