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This document, "PA Psychiatry EOR Exam," covers specific topics in psychiatry, including symptoms and
diagnosis of mood disorders, anxiety disorders, and other mental health conditions. It provides 54
questions with correct answers and detailed explanations, allowing students to review and understand
key concepts. This resource can be used for in-depth study and review of psychiatric concepts, enabling
students to grasp the underlying rationales and relationships between symptoms, diagnoses, and
treatment options.
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EXAM QUESTIONS
QUESTION 1
A client reports feelings of guilt and worthlessness, along with decreased energy and interest in
activities. The nurse notices the client's psychomotor agitation and difficulty concentrating. Which of
the following is a common symptom of depression in this client?
A) Increased appetite
B) Weight gain
C) Suicidal thoughts
D) Improved sleep quality
CORRECT ANSWER
C) Suicidal thoughts
RATIONALE: Suicidal thoughts are a common symptom of depression, indicating the client's severe emotional distress.
The other options are incorrect because decreased appetite and weight loss, not weight gain, are often associated with
depression, and improved sleep quality is not typically seen in clients with depression.
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, QUESTION 2
A client is diagnosed with major depressive disorder. The healthcare provider orders a medication
regimen to treat the condition. Which of the following medications is the most commonly prescribed
first-line treatment?
A) Bupropion
B) Fluoxetine
C) Mirtazapine
D) Nortriptyline
CORRECT ANSWER
B) Fluoxetine
RATIONALE: Fluoxetine, an SSRI, is commonly prescribed as a first-line treatment for major depressive disorder due to
its efficacy and relatively favorable side effect profile. The other options, while used to treat depression, are not typically
first-line choices.
QUESTION 3
A client reports a history of anxiety and depression and has been prescribed a selective serotonin
reuptake inhibitor (SSRI) medication. The nurse is aware that this client is at risk for several side
effects. Which of the following is a common side effect of SSRIs?
A) Weight loss
B) Insomnia
C) Sexual dysfunction
D) Hypertension
CORRECT ANSWER
C) Sexual dysfunction
RATIONALE: SSRIs are known to cause a variety of side effects, including sexual dysfunction, weight gain, nausea, and
anxiety. Sexual dysfunction is a common side effect of SSRIs, affecting approximately 20-50% of clients. The nurse
should be aware of this potential side effect and assess the client for any changes in sexual function.
QUESTION 4
A patient arrives at the clinic with symptoms of depression, including feelings of sadness and loss of
interest in activities. The nurse is assessing the client's mental status and needs to determine the
most appropriate screening tool to use.
A) Beck Anxiety Inventory
B) Mood Disorder Questionnaire
C) Hamilton Rating Scale for Depression
D) Patient Health Questionnaire-9
CORRECT ANSWER
B) Mood Disorder Questionnaire
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, RATIONALE: The Mood Disorder Questionnaire is a screening tool used to assess for bipolar disorder, but it is also
useful in identifying symptoms of depression. This tool is often used in clinics to quickly evaluate patients for depressive
symptoms. Options A, C, and D are incorrect because they are not the primary screening tools used for this patient
population.
QUESTION 5
A client presents with symptoms of depression and anxiety, and the healthcare provider prescribes an
SNRI medication. Which of the following medications is the generic name of Pristiq?
A) Duloxetine
B) Venlafaxine
C) Desvenlafaxine
D) Amitriptyline
CORRECT ANSWER
C) Desvenlafaxine
RATIONALE: Desvenlafaxine is the generic name of Pristiq, an SNRI medication used to treat depression and anxiety.
The other options are incorrect, as Duloxetine is the generic name of Cymbalta, Venlafaxine is the generic name of
Effexor, and Amitriptyline is a tricyclic antidepressant.
QUESTION 6
A client arrives at the emergency department with a history of depression and is prescribed an
antidepressant medication. The client's ECG reveals an abnormal QT interval. The nurse recognizes
that this medication is associated with QT interval prolongation, which may increase the risk of
arrhythmias. Which medication is most likely to cause this side effect?
A) Fluoxetine, a selective serotonin reuptake inhibitor (SSRI)
B) Imipramine, an antidepressant with anticholinergic properties
C) Desipramine, a tricyclic antidepressant (TCA) with selective norepinephrine reuptake inhibition
D) Sertraline, an SSRI with a lower risk of cardiac side effects
CORRECT ANSWER
C) Desipramine, a tricyclic antidepressant (TCA) with selective norepinephrine reuptake inhibition
RATIONALE: Desipramine is a tricyclic antidepressant (TCA) known for its selective norepinephrine reuptake inhibition.
It is also associated with QT interval prolongation, which may increase the risk of arrhythmias. The other options are
not directly related to QT interval prolongation or are less likely to cause this side effect.
QUESTION 7
A client with a history of major depressive disorder is prescribed an antidepressant medication. The
nurse understands that the medication belongs to the class that inhibits the action of a specific
enzyme, leading to an increase in the availability of a neurotransmitter involved in mood regulation.
Which medication is an example of this class?
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