LATEST Maryville NURS 623 Exam 3 Verified 2023/2024

What is the most common psychiatric disorder in the U.S? - CORRECT ANSWER Anxiety What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER *Anxiety *PTSD *Substance Abuse What are the risk factors for major depression? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER Interpersonal and cognitive behavior therapy What are the pharmacologic treatments for management for major depressive disorder? - CORRECT ANSWER SSRI, SNRI, TCA, MAO Names of common SSRIs - CORRECT ANSWER Fluoxetine (Prozac) Sertraline (Zoloft) Paroxetine (paxil) Citalopram (celexa) Escitalopram (Lexapro) Names of common SNRIs - CORRECT ANSWER Duloxetine (Cymbalta) Venlafaxine (Effexor) Desvenlafaxine (Pristiq) What are concerns in elderly taking medication for major depression? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER Distractibility Indiscretion/Insomnia Grandiosity Flight of ideas Activities ↑ Sleep Deficit Talkativeness What is the symptom criteria for BD I ? - CORRECT ANSWER identification of at least one-lifetime mania episode must have occurred What is the symptom criteria for BD II ? - CORRECT 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) - CORRECT 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) - CORRECT 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? - CORRECT ANSWER *reluctant to speak in front of partner *gives evasive answers *Overly protective or controlling partner What are the stages of grieving? (DABDA) - CORRECT ANSWER Denial Anger Bargaining Depression Acceptance What are the phases of grief? (Aca) - CORRECT ANSWER Avoid Confront Accomadate Acknowledge the loss Reacting to the separation Recollecting and Re-experiencing the Relationship w/deceased How would you identify intimate partner violence? - CORRECT ANSWER 1) a patient who is reluctant to speak in front of her partner and gives evasive answers 2) Overly protective or controlling partner What is the clinical presentation of post-traumatic stress disorder (PTSD)? - CORRECT ANSWER A: INTRUSIVE thoughts, nightmares or flashbacks B: AVOIDANCE any situation of activity that brings memories C: HYPERAROUSAL: Hypersensitive or on edge, unprovoked anger, jumpiness, and on guard What are the DSM-5 criteria for a diagnosis of PTSD? - CORRECT ANSWER 1 SYMPTOM of intrusive, avoidance, or hyper-arousal MUST HAVE PERSISTED FOR MORE THAN 1 MONTH What is the management for PTSD? - CORRECT ANSWER PHARMACOLOGY: SSRI's paroxetine (paxil) or sertaline (Zoloft), anxiolytic buspirone (BuSpar) NON-PHARMACOLOGICAL: cognitive behavioral therapies, brief eclectic psychotherapy, narrative exposure therapy potential complications of over-prescription of opiate pain meds - CORRECT ANSWER Constipation Sedation Resp Depression Dizziness N/V