(PMHNP) D346 NURS 6439
Advanced PMH Care of Adults &
Older Adults
LATEST OA EXAM
Q&S
©2024/2025
,1. Question: Which of the following medications is considered a
first-line treatment for managing major depressive disorder in older
adults?
- A) Lithium
- B) Paroxetine (Paxil)
- C) Sertraline (Zoloft)
- D) Haloperidol (Haldol)
Answer: C) Sertraline (Zoloft)
Rationale: Sertraline, an SSRI, is often preferred due to its
efficacy and lower side-effect profile in older adults compared to
older antidepressants and other SSRIs like paroxetine.
2. Question: What is the most appropriate initial intervention
for a patient experiencing a first-episode psychosis?
- A) Electroconvulsive therapy
- B) Cognitive Behavioral Therapy (CBT)
- C) Antipsychotic medication
- D) Psychoeducation for the family
©2024/2025
, Answer: C) Antipsychotic medication
Rationale: Antipsychotic medications are usually the first-line
treatment to manage symptoms of psychosis to stabilize the patient
before implementing other interventions like therapy or
psychoeducation.
### Fill-in-the-Blank Questions
3. Question: In older adults, a common side effect of tricyclic
antidepressants that can exacerbate dementia symptoms is
__________.
Answer: anticholinergic effects
Rationale: Anticholinergic effects can impair cognitive
functioning and are particularly problematic for older adults,
contributing to confusion and other cognitive disturbances.
4. Question: The use of __________ is particularly effective in
treating post-traumatic stress disorder by helping to process
traumatic memories.
Answer: Eye Movement Desensitization and Reprocessing
(EMDR)
Rationale: EMDR is utilized in trauma therapy to help patients
process and integrate traumatic memories safely.
©2024/2025
Advanced PMH Care of Adults &
Older Adults
LATEST OA EXAM
Q&S
©2024/2025
,1. Question: Which of the following medications is considered a
first-line treatment for managing major depressive disorder in older
adults?
- A) Lithium
- B) Paroxetine (Paxil)
- C) Sertraline (Zoloft)
- D) Haloperidol (Haldol)
Answer: C) Sertraline (Zoloft)
Rationale: Sertraline, an SSRI, is often preferred due to its
efficacy and lower side-effect profile in older adults compared to
older antidepressants and other SSRIs like paroxetine.
2. Question: What is the most appropriate initial intervention
for a patient experiencing a first-episode psychosis?
- A) Electroconvulsive therapy
- B) Cognitive Behavioral Therapy (CBT)
- C) Antipsychotic medication
- D) Psychoeducation for the family
©2024/2025
, Answer: C) Antipsychotic medication
Rationale: Antipsychotic medications are usually the first-line
treatment to manage symptoms of psychosis to stabilize the patient
before implementing other interventions like therapy or
psychoeducation.
### Fill-in-the-Blank Questions
3. Question: In older adults, a common side effect of tricyclic
antidepressants that can exacerbate dementia symptoms is
__________.
Answer: anticholinergic effects
Rationale: Anticholinergic effects can impair cognitive
functioning and are particularly problematic for older adults,
contributing to confusion and other cognitive disturbances.
4. Question: The use of __________ is particularly effective in
treating post-traumatic stress disorder by helping to process
traumatic memories.
Answer: Eye Movement Desensitization and Reprocessing
(EMDR)
Rationale: EMDR is utilized in trauma therapy to help patients
process and integrate traumatic memories safely.
©2024/2025
