NR546 WEEK 5 TEST YOUR KNOWLEDGE FREQUENTLY
TESTED ACTUAL EXAM QUESTIONS WITH CORRECT
ANSWERS
Question 1.
Pharmacologic Treatment of Major Depressive Disorder
ANSWER
Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors
(SNRIs) Norepinephrine and dopamine reuptake inhibitors (NDRIs) Serotonin antagonists
and reuptake inhibitors (SARIs) Miscellaneous antidepressants Monoamine oxidase (MAO)-B
inhibitors Adjunct: antipsychotics
Question 2.
Pharmacologic Treatment of Bipolar Disorder
ANSWER
Lithium Anticonvulsants Second generation antipsychotics
Question 3.
Mood disorders: role of the psychiatric mental health nurse practitioner (PMHNP) is to:
ANSWER
determine the malfunctioning brain circuit responsible for the client's presenting symptoms
and select the appropriate medication that targets the associated neurotransmitter(s)
Question 4.
Mood disorders manifest across a spectrum from:
ANSWER
mania to major depressive disorder (MDD)
Question 5.
Unipolar depression
, ANSWER
major depressive disorder (MDD) one of the most common mental disorders -Approximately
7.1% of adults in the U.S. had episode in last year, prevalence highest (13.1%) among
individuals aged 18-25
S/S -depressed mood -loss of interest or pleasure in daily activities -irritability -withdrawal
-problems with sleep, eating, energy, concentration, or self-worth -severe depression: may
experience thoughts of suicide or psychotic symptoms.
Question 6.
Bipolar disorder (BD)
ANSWER
Chronic condition characterized by extreme fluctuations in mood, energy, and ability to
function -Moods may be manic, hypomanic, or depressed and may include mixed mood or
psychotic features -many have only experienced only one manic episode in their lifetime
-Mood fluctuations may be separated by periods of high stability or may cycle rapidly
-diagnosed when a client has one or more episodes of mania or hypomania with a history of
one or more major depressive episodes -high risk for suicide
Question 7.
mania
ANSWER
characterized by a persistently elevated, expansive, or irritable mood. Related symptoms may
include inflated self-esteem, increased goal-directed activity or energy, including grandiosity,
decreased need for sleep, excessive talkativeness, racing thoughts, flight of ideas (FOI),
distractibility, psychomotor agitation, and a propensity to be involved in high-risk activities.
Mania leads to significant functional impairment and may include psychotic features or
necessitate hospitalization
Question 8.
Bipolar Type I:
ANSWER
requires at least one episode of mania for at least one week (or any duration if hospitalization
due to symptoms is required)
Question 9.
, Bipolar Type II:
ANSWER
diagnosis requires a current or past hypomanic episode and a current or past major
depressive episode. Symptoms last for at least 4 days but fewer than seven. -Hypomanic
symptoms are not of sufficient duration or severity to cause significant functional
impairment, psychosis, or hospitalization. -Anger and irritability are common. -Clients often
enjoy the elevation of mood and are reluctant to report these symptoms, making bipolar
more difficult to diagnose if the client presents in the depression phase.
Question 10.
Cyclothymia:
ANSWER
involves the chronic presentation of hypomanic and depressive symptoms that do not meet
the diagnostic criteria for a major depressive or manic/hypomanic episode.
Question 11.
If bipolar depression is mistaken for MDD:
ANSWER
antidepressant therapy may precipitate a manic episode or induce rapid-cycling bipolar
depression -may contribute to the increased incidence of death by suicide in children and
adults younger than 25
Question 12.
Antidepressants are used cautiously in clients with bipolar disorder and never as ________________.
ANSWER
monotherapy -Antidepressants should be combined with a mood stabilizer to prevent the
onset of a hypomanic or manic episode
Question 13.
DA, NE Dysfunction causes what mood related symptoms
ANSWER
TESTED ACTUAL EXAM QUESTIONS WITH CORRECT
ANSWERS
Question 1.
Pharmacologic Treatment of Major Depressive Disorder
ANSWER
Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors
(SNRIs) Norepinephrine and dopamine reuptake inhibitors (NDRIs) Serotonin antagonists
and reuptake inhibitors (SARIs) Miscellaneous antidepressants Monoamine oxidase (MAO)-B
inhibitors Adjunct: antipsychotics
Question 2.
Pharmacologic Treatment of Bipolar Disorder
ANSWER
Lithium Anticonvulsants Second generation antipsychotics
Question 3.
Mood disorders: role of the psychiatric mental health nurse practitioner (PMHNP) is to:
ANSWER
determine the malfunctioning brain circuit responsible for the client's presenting symptoms
and select the appropriate medication that targets the associated neurotransmitter(s)
Question 4.
Mood disorders manifest across a spectrum from:
ANSWER
mania to major depressive disorder (MDD)
Question 5.
Unipolar depression
, ANSWER
major depressive disorder (MDD) one of the most common mental disorders -Approximately
7.1% of adults in the U.S. had episode in last year, prevalence highest (13.1%) among
individuals aged 18-25
S/S -depressed mood -loss of interest or pleasure in daily activities -irritability -withdrawal
-problems with sleep, eating, energy, concentration, or self-worth -severe depression: may
experience thoughts of suicide or psychotic symptoms.
Question 6.
Bipolar disorder (BD)
ANSWER
Chronic condition characterized by extreme fluctuations in mood, energy, and ability to
function -Moods may be manic, hypomanic, or depressed and may include mixed mood or
psychotic features -many have only experienced only one manic episode in their lifetime
-Mood fluctuations may be separated by periods of high stability or may cycle rapidly
-diagnosed when a client has one or more episodes of mania or hypomania with a history of
one or more major depressive episodes -high risk for suicide
Question 7.
mania
ANSWER
characterized by a persistently elevated, expansive, or irritable mood. Related symptoms may
include inflated self-esteem, increased goal-directed activity or energy, including grandiosity,
decreased need for sleep, excessive talkativeness, racing thoughts, flight of ideas (FOI),
distractibility, psychomotor agitation, and a propensity to be involved in high-risk activities.
Mania leads to significant functional impairment and may include psychotic features or
necessitate hospitalization
Question 8.
Bipolar Type I:
ANSWER
requires at least one episode of mania for at least one week (or any duration if hospitalization
due to symptoms is required)
Question 9.
, Bipolar Type II:
ANSWER
diagnosis requires a current or past hypomanic episode and a current or past major
depressive episode. Symptoms last for at least 4 days but fewer than seven. -Hypomanic
symptoms are not of sufficient duration or severity to cause significant functional
impairment, psychosis, or hospitalization. -Anger and irritability are common. -Clients often
enjoy the elevation of mood and are reluctant to report these symptoms, making bipolar
more difficult to diagnose if the client presents in the depression phase.
Question 10.
Cyclothymia:
ANSWER
involves the chronic presentation of hypomanic and depressive symptoms that do not meet
the diagnostic criteria for a major depressive or manic/hypomanic episode.
Question 11.
If bipolar depression is mistaken for MDD:
ANSWER
antidepressant therapy may precipitate a manic episode or induce rapid-cycling bipolar
depression -may contribute to the increased incidence of death by suicide in children and
adults younger than 25
Question 12.
Antidepressants are used cautiously in clients with bipolar disorder and never as ________________.
ANSWER
monotherapy -Antidepressants should be combined with a mood stabilizer to prevent the
onset of a hypomanic or manic episode
Question 13.
DA, NE Dysfunction causes what mood related symptoms
ANSWER
