NURS 623 Exam 3 - Questions and Answers
Latest Update 2025/2026 Brand New !!!
Names of common SNRIs
✓ Duloxetine (Cymbalta)
✓ Venlafaxine (Effexor)
✓ Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression?
✓ 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?
✓ non-pharmacological interventions of cognitive behavioral therapy has proven equal
results to SSRI pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole
✓ Distractibility
✓ Indiscretion/Insomnia
✓ Grandiosity
✓ Flight of ideas
✓ Activities ↑
✓ Sleep Deficit
✓ Talkativeness
What is the symptom criteria for BD I ?
1|Page
, ✓ identification of at least one-lifetime mania episode must have occurred
What is the symptom criteria for BD II ?
✓ identification of at least one hypomania episode and one major depressive episode
must have occurred
What is the symptom criteria for diagnosing unipolar (depression)
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)
✓ 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?
✓ *reluctant to speak in front of partner
✓ *gives evasive answers
✓ *Overly protective or controlling partner
What are the stages of grieving? (DABDA)
2|Page
, ✓ Denial
✓ Anger
✓ Bargaining
✓ Depression
✓ Acceptance
What are the phases of grief? (Aca)
✓ 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?
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)?
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
What are the DSM-5 criteria for a diagnosis of PTSD?
1 SYMPTOM of intrusive, avoidance, or hyper-arousal MUST HAVE PERSISTED FOR MORE THAN
1 MONTH
What is the management for PTSD?
3|Page
Latest Update 2025/2026 Brand New !!!
Names of common SNRIs
✓ Duloxetine (Cymbalta)
✓ Venlafaxine (Effexor)
✓ Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression?
✓ 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?
✓ non-pharmacological interventions of cognitive behavioral therapy has proven equal
results to SSRI pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole
✓ Distractibility
✓ Indiscretion/Insomnia
✓ Grandiosity
✓ Flight of ideas
✓ Activities ↑
✓ Sleep Deficit
✓ Talkativeness
What is the symptom criteria for BD I ?
1|Page
, ✓ identification of at least one-lifetime mania episode must have occurred
What is the symptom criteria for BD II ?
✓ identification of at least one hypomania episode and one major depressive episode
must have occurred
What is the symptom criteria for diagnosing unipolar (depression)
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)
✓ 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?
✓ *reluctant to speak in front of partner
✓ *gives evasive answers
✓ *Overly protective or controlling partner
What are the stages of grieving? (DABDA)
2|Page
, ✓ Denial
✓ Anger
✓ Bargaining
✓ Depression
✓ Acceptance
What are the phases of grief? (Aca)
✓ 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?
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)?
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
What are the DSM-5 criteria for a diagnosis of PTSD?
1 SYMPTOM of intrusive, avoidance, or hyper-arousal MUST HAVE PERSISTED FOR MORE THAN
1 MONTH
What is the management for PTSD?
3|Page
