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NR 445 EXAM 1 QUESTIONS AND ANSWERS

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NR 445 EXAM 1 QUESTIONS AND ANSWERS Mood disorders are also known as _________ - answer- Effective disorders In any given year what proportion of people will be suffering from a diagnosable depressive illness? - answer- 1/4 Depression is an imbalance in what three major neurotransmitters? - answer- dopamine, serotonin, and norepinephrine Catatonic features - answer- group of symptoms characterized by disturbances in motor (muscular movement) behavior that may have either a psychological or a physiological basis. Melancholic features - answer- subtype of clinical depression requiring at least one of the following symptoms: Anhedonia (the inability to find pleasure in positive things) Lack of mood reactivity (i.e. mood does not improve in response to positive events) Dysthymia - answer- low level chronic depression that goes on for years. Has to go on for at least 2 years Pseudodementia - answer- "false dementia" people with depression can develop cognitive impairment that mimics dementia. Once depressive symptoms are resolved then dementia resolves as well. How many criteria must someone meet to get the diagnosis of MDD? - answer- 5 out of 9 in a two week period. Has to be consistent to be diagnosed Anhedonia - answer- Loss of pleasure in activities Anergia - answer- Loss of energy Vegetative symptoms of MDD - answer- Anhedonia, inability to concentrate, anergia, insomnia or hypersomnia, significant weight loss or gain, loss of libido Typical MDD - answer- Insomnia and anorexia Atypical MDD - answer- Sleeping too much and eating too much How women experience depression? - answer- Sadness, worthlessness, excessive guilt How men experience depression? - answer- Fatigue, irritability, anhedonia, sleep problems Highest rates of suicide are among the ______ - answer- elderly Screening tools for MDD - answer- Beck depression scale, geriatric depression scale, yale on question test Milieu therapy - answer- psychotherapy in which the patient's social environment is controlled or manipulated with a view to preventing self-destructive behavior. Psychotherapy - answer- Talk therapy Psychopharmacology - answer- Medications for mental illness treatment Somatic treatments - answer- things such as ECT. NPO before, electrodes bilaterally, administer jolt of electricity, purpose to administer grand mal seizure ( causes a loss of consciousness and violent muscle contractions). Integrative therapies - answer- acupuncture, relaxation, etc If the patient doesn't want to talk, then what? - answer- sit quietly, make observations Goals of psychopharmacology - answer- Feel better, function better, be more in control of own life, better able to respond to other types of therapy 4 major classes of antidepressant medications - answer- antipsychotic, antianxiety, mood-stabilizers, antidepressant Frontal lobe - answer- Personality, mood, voluntary muscle control Parietal lobe - answer- Spacial recognition Occipital lobe - answer- Sight Temporal lobe - answer- Hearing and language Hippocampus is responsible for what? - answer- New memories Thalmus does what? - answer- Directs info Hypothalamus - answer- Homeostasis Amygdala - answer- Fight or flight How often do you have to take antidepressants? - answer- Every day Are antidepressants addictive? - answer- NO Are side effects common for antideppresants? - answer- Mild side effects are common but often go away quickly Can antidepressants cause withdrawl symptoms? - answer- YES 5 classes of antidepressants - answer- SSRIs and SNRIs; medications that act indirectly on 5-HT and NE; medication that acts indirectly on DA; tricyclic antidepressants; monoamine oxidase inhibitors (MAOIs) SSRIs - answer- Paxil (paroxetine), Celexa (citalopram), Prozac (fluoxetine), Zoloft (sertaline), Lexapro (escitalopram) For depressive disorders, anxiety disorders, eating disorders, premenstrual dysphoric disorders Paxil - answer- SSRI. Taken once a day. Most sedating, causes most weight gain. Better for anxiety. Cannot take this while pregnant. Prozac - answer- SSRI. Most activating. Long lasting. For

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NR 445 EXAM 1 QUESTIONS AND
ANSWERS
Mood disorders are also known as _________ - answer- Effective disorders

In any given year what proportion of people will be suffering from a diagnosable
depressive illness? - answer- 1/4

Depression is an imbalance in what three major neurotransmitters? - answer-
dopamine, serotonin, and norepinephrine

Catatonic features - answer- group of symptoms characterized by disturbances in
motor (muscular movement) behavior that may have either a psychological or a
physiological basis.

Melancholic features - answer- subtype of clinical depression requiring at least one
of the following symptoms: Anhedonia (the inability to find pleasure in positive things)
Lack of mood reactivity (i.e. mood does not improve in response to positive events)

Dysthymia - answer- low level chronic depression that goes on for years. Has to go
on for at least 2 years

Pseudodementia - answer- "false dementia" people with depression can develop
cognitive impairment that mimics dementia. Once depressive symptoms are resolved
then dementia resolves as well.

How many criteria must someone meet to get the diagnosis of MDD? - answer- 5 out
of 9 in a two week period. Has to be consistent to be diagnosed

Anhedonia - answer- Loss of pleasure in activities

Anergia - answer- Loss of energy

Vegetative symptoms of MDD - answer- Anhedonia, inability to concentrate, anergia,
insomnia or hypersomnia, significant weight loss or gain, loss of libido

Typical MDD - answer- Insomnia and anorexia

Atypical MDD - answer- Sleeping too much and eating too much

How women experience depression? - answer- Sadness, worthlessness, excessive
guilt

How men experience depression? - answer- Fatigue, irritability, anhedonia, sleep
problems

Highest rates of suicide are among the ______ - answer- elderly

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