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NR547 FINAL EXAM Q UESTIONS WITH C ORRECT VE
M M M M M M
RIFIED SOLUTIONS 100% G UARANTEED PASS (LAT
M M M M M
EST UPDATE) M
ThemUnitedmStatesmPreventivemServicesmTaskmForcem(USPSTF) mrecommendsm depr
ession mscreening: m-
mANS m✓formadultsm18myearsmofmagemormoldermandmadolescentsm agesm12-
18myearsmold.
ThemAmerican mAcademymofmFamily mPhysiciansmrecommendsmscreeningmformdepre
ssion min: m-mANSm✓themgeneralmadultmpopulation, mincludingmpregnantmandmpost-
partummwomen.
ThemAmerican mAcademymofmPediatricsmrecommendsmmaternalmscreeningmform post
partummdepression mat: m-mANSm✓infants'm1, m2, mandm4-mmonthmvisits.
ThemAmerican mAcademymofmPediatrics'mBrightmFuturesmprogrammrecommends: m(s
creenin) m-
mANS m✓annual mscreeningmin madolescent mclientsmformemotional mandmbehavioral mpro
blems.
Medicaid'smchildmhealthmcomponent, mthemEarly mandmPeriodic mScreening, mDiagnosis
mandmTreatment mprogrammrecommends: m-
mANS m✓screeningmtomdetect m physical mandmmental mconditionsmat m variousmageminter
vals. mIfmamriskmismidentified, mthemprovidermshouldmfollowmupmwithmdiagnosismandmtr
eatment.
Immuno-Psychiatry m(neuroimmunology) m-
mANS m✓exploresmhowmthemimmunem systemminteractsmwithmthembrain mandmthemmin
d
-Thisminteraction mcan maffectmbothmphysical mandmmentalmhealth
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-Themimmunemsystemmprotectsmthembodymfromminfection
•mMacrophagesmaremthemcenturionsmofmthemimmunemsystem. mMacrophagesmwarn mt
hemimmunemsystemmofmampotential mthreatmbymsecretingmcytokinesmalertingmmorem
macrophagesmtomcomemtomtheminjuredmsite
•mCytokinesm(inflammatory mproteinsmin mthemblood) mcan msendmsignalsmacrossmthemb
lood-brain mbarrier.
•mNervemcellsmexposedmtomcytokinesmaremmoremlikely mtomdiemthan mregenerate
•mIn mratmstudies, mratsminjectedmwithmcytokinesmexhibitedmsocialmwithdrawal, mlessm
movement, mandmalteredmsleepingmandmeatingmpatterns.
•mInflamedmnervemcellsmcannotmeffectively mtransmitm5-
hydroxytryptaminem(5HT) mormserotonin mreceptors.
•mPersonsmwithminflammatory mconditionsmaremsignificantly mmoremdepressedmthan m
themgeneralmpopulation.
*Peoplemwhomfrequently meatmfoodsmknown mtomcauseminflammation m(carbs) maremmo
remlikely mtomexhibitmdepressivemsy
MedicalmDiagnosesmthatmMimic mDepressivemDisordersm-mANSm✓hypothyroidism
vitamin mDmdeficiency
anemia
chronic mfatiguemsyndrome
Medicationsmwithmsidemeffectsmmimickingmdepression minclude: m-
mANS m✓cannabis, malcohol, mclonidine, mantidepressants, manticonvulsants, mantimigra
inemagents, mcorticosteroids, mcontraceptives, mandmvareniclinem(Chantix)
Depression mtreatment: mpharmacological m-
m ANSm✓SelectivemSerotonin mReuptakemInhibitorsm(SSRIs)
Serotonin mNorepinephrinemReuptakemInhibitorsm(SNRIs)
Tricyclic mAntidepressantsm(TCAs)
MonoaminemOxidasemInhibitorsm(MAOIs)
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MustmNotmMissmDiagnosis: mBDm-
m ANSm✓Clientsmwithmbipolarmdisordermmaympresentmduringmthemdepressivemphase
-maymnotmreportmanymsymptomsmofmhypomanic mormmanic mepisodes
•mprovidermmustmobtain mamcarefulmhistory mfrommthemclientmand/ormfamilymmember
smtomdifferentiatembetween mbipolarmdisordermandmdepression
-
Bipolarmdisordermshouldmbemruledmoutmasmamcausemofmdepression mbeforemprescribi
ngmmedication masmcertain mantidepressantmmedicationsmcan mprecipitatemammanic me
pisodemorminducemrapid-cyclingmbipolarmdepression
*maymcontributemtomthemincreasedmincidencemofmdeathmbymsuicidemin mchildren mandm
adultsmyoungermthan m25
Ameeta, mam42-year-oldmfemale, mpresentsmtomthem primarymcaremclinic mwithmamthree-
monthmhistory mofm"feelingmlowmandmsad"mwithmpoormenergy, minability mtomconcentra
te, mandmirritability. mShemindicatesmthatmthemsymptomsmwereminitially mpresentmonce
mpermweekmbut mhavemincreasedmtom4-
5mtimesmpermweek. mShemreportsmmakingman merrormlastmweekmatmthemgrocerymstorem
wheremshemworksmasmamcashiermandmsnappingmatmthemcustomermwhen mthemerrormw
asmbroughtmtomhermattention. mShemismconcernedmaboutmhermlossmofminterestmin m-
m ANSm✓citalopramm20mmgmpomdaily
Rationale: mAlthoughmallmthreemdrugsmaremappropriatemtomusemwhen mtreatingmunipo
larmdepression, mCitaloprammisman mSSRI mandmismconsideredmamfirst-linemchoice.
Bipolarmdisorderm-
mANS m✓mental millnessmthat mcausesmextrememshiftsmin memotions, mmood, mandm energ
ymlevels
-Shiftsmin mmoodmusually moccurmovermseveralmdaysmtomweeks
-classifiedmaccordingmtomthemtypesmofmmoodmepisodesmexhibited
-affectsmapproximately m2.6%mofmthemadultmpopulation min mthemU.S.
-sixthmleadingmcausemofmdisability min mthemworld
-mostmfrequently mdiagnosedmin mlatemadolescencemormearlym20s
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-lifelongmcondition
causemofmbipolarmdisorderm-mANSm✓unknown
-
Individualsmwithmfamilymmembersmwhomhavembipolarm disordermaremmoremlikely mto
mdevelopmit
-interaction mbetween mgenetic mfactorsmandmthemenvironmentmmaymbemcontributory
-
Brain mimagingmrevealsmwhitemmattermhyperintensities, mreduction min mgraymmatterm
volume, mincreasedmventricularmsize, mandmdecreasedmfrontalmcortical mareamvolumes
Bipolarmdisordermsymptomsm-mANSm✓DepressivemSymptoms
-similarmtomMDD
Manic mSymptoms
-elevated, mexpansive, mormirritablemmood
Hypomanic mSymptoms
-mildermformmofmmania
MixedmSymptoms
-presencemofmsymptomsmofmdepression mandmmaniamsimultaneously
dxmmanic m-mANSm✓-
elevated, mexpansive, mormirritablemmoodmformatmleastmonemweek, mmoodmpresentmmos
tmofmthemdaymandmnearlymeverymday
-
severemenoughmtomcausemsignificantmimpairmentmin msocialmormoccupational mfunctio
ning, mtomreqmhospitalization mtompreventmharmmtomthemclientmormothers, mormsympto
msmincludempsychotic mfeatures
NR547
NR
NR547 FINAL EXAM Q UESTIONS WITH C ORRECT VE
M M M M M M
RIFIED SOLUTIONS 100% G UARANTEED PASS (LAT
M M M M M
EST UPDATE) M
ThemUnitedmStatesmPreventivemServicesmTaskmForcem(USPSTF) mrecommendsm depr
ession mscreening: m-
mANS m✓formadultsm18myearsmofmagemormoldermandmadolescentsm agesm12-
18myearsmold.
ThemAmerican mAcademymofmFamily mPhysiciansmrecommendsmscreeningmformdepre
ssion min: m-mANSm✓themgeneralmadultmpopulation, mincludingmpregnantmandmpost-
partummwomen.
ThemAmerican mAcademymofmPediatricsmrecommendsmmaternalmscreeningmform post
partummdepression mat: m-mANSm✓infants'm1, m2, mandm4-mmonthmvisits.
ThemAmerican mAcademymofmPediatrics'mBrightmFuturesmprogrammrecommends: m(s
creenin) m-
mANS m✓annual mscreeningmin madolescent mclientsmformemotional mandmbehavioral mpro
blems.
Medicaid'smchildmhealthmcomponent, mthemEarly mandmPeriodic mScreening, mDiagnosis
mandmTreatment mprogrammrecommends: m-
mANS m✓screeningmtomdetect m physical mandmmental mconditionsmat m variousmageminter
vals. mIfmamriskmismidentified, mthemprovidermshouldmfollowmupmwithmdiagnosismandmtr
eatment.
Immuno-Psychiatry m(neuroimmunology) m-
mANS m✓exploresmhowmthemimmunem systemminteractsmwithmthembrain mandmthemmin
d
-Thisminteraction mcan maffectmbothmphysical mandmmentalmhealth
NR547
, 2
NR
-Themimmunemsystemmprotectsmthembodymfromminfection
•mMacrophagesmaremthemcenturionsmofmthemimmunemsystem. mMacrophagesmwarn mt
hemimmunemsystemmofmampotential mthreatmbymsecretingmcytokinesmalertingmmorem
macrophagesmtomcomemtomtheminjuredmsite
•mCytokinesm(inflammatory mproteinsmin mthemblood) mcan msendmsignalsmacrossmthemb
lood-brain mbarrier.
•mNervemcellsmexposedmtomcytokinesmaremmoremlikely mtomdiemthan mregenerate
•mIn mratmstudies, mratsminjectedmwithmcytokinesmexhibitedmsocialmwithdrawal, mlessm
movement, mandmalteredmsleepingmandmeatingmpatterns.
•mInflamedmnervemcellsmcannotmeffectively mtransmitm5-
hydroxytryptaminem(5HT) mormserotonin mreceptors.
•mPersonsmwithminflammatory mconditionsmaremsignificantly mmoremdepressedmthan m
themgeneralmpopulation.
*Peoplemwhomfrequently meatmfoodsmknown mtomcauseminflammation m(carbs) maremmo
remlikely mtomexhibitmdepressivemsy
MedicalmDiagnosesmthatmMimic mDepressivemDisordersm-mANSm✓hypothyroidism
vitamin mDmdeficiency
anemia
chronic mfatiguemsyndrome
Medicationsmwithmsidemeffectsmmimickingmdepression minclude: m-
mANS m✓cannabis, malcohol, mclonidine, mantidepressants, manticonvulsants, mantimigra
inemagents, mcorticosteroids, mcontraceptives, mandmvareniclinem(Chantix)
Depression mtreatment: mpharmacological m-
m ANSm✓SelectivemSerotonin mReuptakemInhibitorsm(SSRIs)
Serotonin mNorepinephrinemReuptakemInhibitorsm(SNRIs)
Tricyclic mAntidepressantsm(TCAs)
MonoaminemOxidasemInhibitorsm(MAOIs)
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MustmNotmMissmDiagnosis: mBDm-
m ANSm✓Clientsmwithmbipolarmdisordermmaympresentmduringmthemdepressivemphase
-maymnotmreportmanymsymptomsmofmhypomanic mormmanic mepisodes
•mprovidermmustmobtain mamcarefulmhistory mfrommthemclientmand/ormfamilymmember
smtomdifferentiatembetween mbipolarmdisordermandmdepression
-
Bipolarmdisordermshouldmbemruledmoutmasmamcausemofmdepression mbeforemprescribi
ngmmedication masmcertain mantidepressantmmedicationsmcan mprecipitatemammanic me
pisodemorminducemrapid-cyclingmbipolarmdepression
*maymcontributemtomthemincreasedmincidencemofmdeathmbymsuicidemin mchildren mandm
adultsmyoungermthan m25
Ameeta, mam42-year-oldmfemale, mpresentsmtomthem primarymcaremclinic mwithmamthree-
monthmhistory mofm"feelingmlowmandmsad"mwithmpoormenergy, minability mtomconcentra
te, mandmirritability. mShemindicatesmthatmthemsymptomsmwereminitially mpresentmonce
mpermweekmbut mhavemincreasedmtom4-
5mtimesmpermweek. mShemreportsmmakingman merrormlastmweekmatmthemgrocerymstorem
wheremshemworksmasmamcashiermandmsnappingmatmthemcustomermwhen mthemerrormw
asmbroughtmtomhermattention. mShemismconcernedmaboutmhermlossmofminterestmin m-
m ANSm✓citalopramm20mmgmpomdaily
Rationale: mAlthoughmallmthreemdrugsmaremappropriatemtomusemwhen mtreatingmunipo
larmdepression, mCitaloprammisman mSSRI mandmismconsideredmamfirst-linemchoice.
Bipolarmdisorderm-
mANS m✓mental millnessmthat mcausesmextrememshiftsmin memotions, mmood, mandm energ
ymlevels
-Shiftsmin mmoodmusually moccurmovermseveralmdaysmtomweeks
-classifiedmaccordingmtomthemtypesmofmmoodmepisodesmexhibited
-affectsmapproximately m2.6%mofmthemadultmpopulation min mthemU.S.
-sixthmleadingmcausemofmdisability min mthemworld
-mostmfrequently mdiagnosedmin mlatemadolescencemormearlym20s
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-lifelongmcondition
causemofmbipolarmdisorderm-mANSm✓unknown
-
Individualsmwithmfamilymmembersmwhomhavembipolarm disordermaremmoremlikely mto
mdevelopmit
-interaction mbetween mgenetic mfactorsmandmthemenvironmentmmaymbemcontributory
-
Brain mimagingmrevealsmwhitemmattermhyperintensities, mreduction min mgraymmatterm
volume, mincreasedmventricularmsize, mandmdecreasedmfrontalmcortical mareamvolumes
Bipolarmdisordermsymptomsm-mANSm✓DepressivemSymptoms
-similarmtomMDD
Manic mSymptoms
-elevated, mexpansive, mormirritablemmood
Hypomanic mSymptoms
-mildermformmofmmania
MixedmSymptoms
-presencemofmsymptomsmofmdepression mandmmaniamsimultaneously
dxmmanic m-mANSm✓-
elevated, mexpansive, mormirritablemmoodmformatmleastmonemweek, mmoodmpresentmmos
tmofmthemdaymandmnearlymeverymday
-
severemenoughmtomcausemsignificantmimpairmentmin msocialmormoccupational mfunctio
ning, mtomreqmhospitalization mtompreventmharmmtomthemclientmormothers, mormsympto
msmincludempsychotic mfeatures
NR547
