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Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As

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Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As

Institution
NURS 623
Course
NURS 623

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Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As

What is the symptom criteria for diagnosing unipolar (depression) Correct Ans-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 Ans-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 Ans-*reluctant to speak in
front of partner

*gives evasive answers

*Overly protective or controlling partner




What are the stages of grieving? (DABDA) Correct Ans-Denial

, Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
Anger

Bargaining

Depression

Acceptance




What are the phases of grief? (Aca) Correct Ans-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 Ans-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 Ans-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

, Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
What are the DSM-5 criteria for a diagnosis of PTSD? Correct Ans-1 SYMPTOM of intrusive,
avoidance, or hyper-arousal MUST HAVE PERSISTED FOR MORE THAN 1 MONTH




What is the management for PTSD? Correct Ans-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 Ans-Constipation

Sedation

Resp Depression

Dizziness

N/V




What is the most common psychiatric disorder in the U.S? Correct Ans-Anxiety




What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Correct
Ans-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 Ans-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

, Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
differential diagnoses that would mimic the symptoms of depression? Correct Ans-
*Anxiety

*PTSD

*Substance Abuse




What are the risk factors for major depression? Correct Ans-*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
Ans-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 Ans-Interpersonal and cognitive behavior therapy




What are the pharmacologic treatments for management for major depressive disorder?
Correct Ans-SSRI, SNRI, TCA, MAO

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NURS 623

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