NURS 623 MARYVILLE ADULT / GERI 2 ACTUAL EXAM 1
LATEST REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS (APPROVED ANSWERS) A NEW
UPDATED VERSION |ASSURED SUCCESS
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
LATEST REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS (APPROVED ANSWERS) A NEW
UPDATED VERSION |ASSURED SUCCESS
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