MARYVILLE NURS 623 EXAM 2 QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTION
What is the most common psychiatric disorder in the U.S? - ANSWER Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? -
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? - 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? - ANSWER
*Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? - 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? -
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? - ANSWER Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive
disorder? - ANSWER SSRI, SNRI, TCA, MAO
Names of common SSRIs - ANSWER Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs - ANSWER Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? - 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? - 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 - ANSWER
Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ? - ANSWER identification of at least one-
lifetime mania episode must have occurred
What is the symptom criteria for BD II ? - 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) - 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) - 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? - ANSWER *reluctant to speak in
front of partner
*gives evasive answers
*Overly protective or controlling partner
What are the stages of grieving? (DABDA) - ANSWER Denial
Anger
Bargaining
Depression
Acceptance
What are the phases of grief? (Aca) - ANSWER Avoid
Confront
ANSWERS WITH COMPLETE SOLUTION
What is the most common psychiatric disorder in the U.S? - ANSWER Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? -
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? - 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? - ANSWER
*Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? - 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? -
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? - ANSWER Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive
disorder? - ANSWER SSRI, SNRI, TCA, MAO
Names of common SSRIs - ANSWER Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs - ANSWER Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? - 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? - 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 - ANSWER
Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ? - ANSWER identification of at least one-
lifetime mania episode must have occurred
What is the symptom criteria for BD II ? - 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) - 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) - 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? - ANSWER *reluctant to speak in
front of partner
*gives evasive answers
*Overly protective or controlling partner
What are the stages of grieving? (DABDA) - ANSWER Denial
Anger
Bargaining
Depression
Acceptance
What are the phases of grief? (Aca) - ANSWER Avoid
Confront
