What is the most common psychiatric disorder in the U.S? Anxiety
What are the DSM-5 symptom criteria for a diagnosis of excessive anxiety and worry of variety of things for at least
general anxiety disorder? 6 months
Five or more symptoms including at least one depressed
What are the DSM-5 symptom criteria for a major depres-
mood or loss of interest present in the same two weeks
sive disorder?
and present nearly every day
*Anxiety
ditterential diagnoses that would mimic the symptoms of
*PTSD
depression?
*Substance Abuse
*Age
*Gender
What are the risk factors for major depression?
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
Somatic (general pain)
What are the common presenting symptoms of depres- Psychology (feeling of guilt/worry, suicidal, memory)
sion in the geriatric patient? Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
What are the NON-pharmacologic treatments for man-
Interpersonal and cognitive behavior therapy
agement for major depressive disorder?
What are the pharmacologic treatments for management
SSRI, SNRI, TCA, MAO
for major depressive disorder?
Fluoxetine (Prozac)
Sertraline (Zoloft)
Names of common SSRIs Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Duloxetine (Cymbalta)
Names of common SNRIs Venlafaxine (Ettexor)
Desvenlafaxine (Pristiq)
, Maryville NURS 623 Exam 3 Test Questions with Answers Graded A+
What are concerns in elderly taking medication for major a slower metabolism requires lower dosing; greater risk of
depression? falls, osteoporosis, fractures
non-pharmacological interventions of cognitive behav-
What are the pharmacologic versus nonpharmacologic
ioral therapy has proven equal results to SSRI pharmaco-
treatment for management for general anxiety disorder?
logic therapy
Distractibility
Indiscretion/Insomnia
Grandiosity
DIGFAST for bipolar because your digging yourself into
Flight of ideas
hole
Activities ‘
Sleep Deficit
Talkativeness
identification of at least one-lifetime mania episode must
What is the symptom criteria for BD I ?
have occurred
identification of at least one hypomania episode and one
What is the symptom criteria for BD II ?
major depressive episode must have occurred
persistently depressed mood or loss of interest in activi-
What is the symptom criteria for diagnosing unipolar (de-
ties, causing significant impairment in daily life (no ma-
pression)
nia/hypomania)
S-ex
A-ge
D-epression
P-revious attempt
How do you assess suicide risk (consider mnemonic SAD E-thanol abuse
PERSONS) R-ational thinking loss
S-ocial support loss
O-rganized plan
N-o spouse
S-ickness
How would you identify intimate partner violence?