PMH Final Exam Part 3 Questions and
Answers14
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for
discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking
citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary
diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
a. Fluoxetine (Prozac)
b. Isocarboxazid (Marplan)
c. Amitriptyline
d. Duloxetine (Cymbalta) - ANSWERS -a
Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety,
and overeating. With a history of mild hypertension, which classification of antidepressants
dispensed as a transdermal patch would be a safe medication?
a. Tricyclic antidepressants
b. Selective serotonin reuptake inhibitors
c. Serotonin and norepinephrine reuptake inhibitors
d. Monoamine oxidase inhibitor - ANSWERS -b
the biological approach to treating depression with electrodes surgically implanted into specific
areas of the brain to stimulate the regions identified to be underactive in depression is
a. TMS
b. deep brain stimulation
c. vagus nerve stimulation
d. ECT - ANSWERS -b
, life just does not have any joy in it anything. things I once did for pleasure aren't fun
is an example of - ANSWERS -anhedonia
s/s depression in peds (10-19 years) - ANSWERS -angry, aggressive outbursts, vandalism,
skipping class, wt loss or gain rapidly
dysthymia - ANSWERS -mild symptoms of depression
-may be seasonal affective disorder or pre and post baby blues
-SAD use light therapy
suicide risk assessment - ANSWERS --calmer or more energetic = increased suicide risk
-sudden, abrupt, rapid change in energy
-giving away possessions that are cherished or valued
-statements like I can't go on, I won't be a problem much longer, or this will all be over soon
suicide risk assessment questions - ANSWERS -have you had any thoughts of hurting yourself?
Do you have a plan to kill yourself? Do you want to die?
nurse interventions of suicidal patients - ANSWERS -one to one is priority
-semi private room near nurses station, remove harmful objects from room, supervise during
meals, reassess: changes in suicidal thoughts such as having clear plans for the future involving
personal goals, family and friends
interventions for depressed clients - ANSWERS -encourage or invite client to participate in ADLs,
help them get ready, spend time with the client, sit with the client, communication with simple
and direct language
Answers14
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for
discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking
citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary
diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
a. Fluoxetine (Prozac)
b. Isocarboxazid (Marplan)
c. Amitriptyline
d. Duloxetine (Cymbalta) - ANSWERS -a
Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety,
and overeating. With a history of mild hypertension, which classification of antidepressants
dispensed as a transdermal patch would be a safe medication?
a. Tricyclic antidepressants
b. Selective serotonin reuptake inhibitors
c. Serotonin and norepinephrine reuptake inhibitors
d. Monoamine oxidase inhibitor - ANSWERS -b
the biological approach to treating depression with electrodes surgically implanted into specific
areas of the brain to stimulate the regions identified to be underactive in depression is
a. TMS
b. deep brain stimulation
c. vagus nerve stimulation
d. ECT - ANSWERS -b
, life just does not have any joy in it anything. things I once did for pleasure aren't fun
is an example of - ANSWERS -anhedonia
s/s depression in peds (10-19 years) - ANSWERS -angry, aggressive outbursts, vandalism,
skipping class, wt loss or gain rapidly
dysthymia - ANSWERS -mild symptoms of depression
-may be seasonal affective disorder or pre and post baby blues
-SAD use light therapy
suicide risk assessment - ANSWERS --calmer or more energetic = increased suicide risk
-sudden, abrupt, rapid change in energy
-giving away possessions that are cherished or valued
-statements like I can't go on, I won't be a problem much longer, or this will all be over soon
suicide risk assessment questions - ANSWERS -have you had any thoughts of hurting yourself?
Do you have a plan to kill yourself? Do you want to die?
nurse interventions of suicidal patients - ANSWERS -one to one is priority
-semi private room near nurses station, remove harmful objects from room, supervise during
meals, reassess: changes in suicidal thoughts such as having clear plans for the future involving
personal goals, family and friends
interventions for depressed clients - ANSWERS -encourage or invite client to participate in ADLs,
help them get ready, spend time with the client, sit with the client, communication with simple
and direct language
