MARYVILLE NURS 623 EXAM 2
COMPREHENSIVE SCRIPT WITH SOLUTIONS
◉ What are the pharmacologic treatments for management for
major depressive disorder?
Answer: SSRI, SNRI, TCA, MAO
◉ Names of common SSRIs
Answer: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
◉ Names of common SNRIs
Answer: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
◉ What are concerns in elderly taking medication for major
depression?
,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?
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
Answer: Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
◉ What is the symptom criteria for BD I ?
Answer: identification of at least one-lifetime mania episode must
have occurred
◉ What is the symptom criteria for BD II ?
, 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)
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)
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?
Answer: *reluctant to speak in front of partner
COMPREHENSIVE SCRIPT WITH SOLUTIONS
◉ What are the pharmacologic treatments for management for
major depressive disorder?
Answer: SSRI, SNRI, TCA, MAO
◉ Names of common SSRIs
Answer: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
◉ Names of common SNRIs
Answer: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
◉ What are concerns in elderly taking medication for major
depression?
,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?
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
Answer: Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
◉ What is the symptom criteria for BD I ?
Answer: identification of at least one-lifetime mania episode must
have occurred
◉ What is the symptom criteria for BD II ?
, 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)
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)
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?
Answer: *reluctant to speak in front of partner
