NURS 600 quiz #3 modules 5-6 with
complete solutions to pass
Mild/Moderate depression Prevalence - correct answer ✔✔5-12% will experience at some point
can be as high as 40$
Depression Risk Factors - correct answer ✔✔pre-existing mood disorder
Signs/Symptoms Depression - correct answer ✔✔negative emotional experiences, sadness,
disinterest (anhedonia), self-hate, unexplaind fatigue, anger, anxiety, irritability, hyperactivity,
altered sleep, appetite or sexual behaviour. Motor slowness, stooped posture, minor cognitive
impairment
Differential Dx for Depression - correct answer ✔✔parkinsons, thyroid disorders, dementia,
epilepsy, CVA and tumors
Work up for Depression - correct answer ✔✔ask 2 questions: Have you felt down or hopeless in
the past month?
Little interest in doing things for the last month?
PHQ-9 checklist of 9 symptoms over 2 week time.
Full physical assessment, medical history, neuro exam, UA, routine blood work including
THYROID and ADRENAL function.
any family HX of depression
Medications that can cause Depression - correct answer ✔✔BP meds, sedatives, hyponotics,
anti seizure, antipsychotics, anti parkinsons, steroids, analgesics, antibacterials, antineoplastics.
,Pharm management for depression - correct answer ✔✔
Non-pharm management for Depression - correct answer ✔✔
Major Depression Risk Factors - correct answer ✔✔female, strong family history or suicide
attempt, etoh abuse, hx of migraines, back pain, recent MI, peptic ulcer dx, current chronic
disease, insomnia, stress, poverty, < high school education, recent trauma, parent or caregiver
with behavior disorder, hypersecretion of cortisol and coexisting thyroid disorder.
Sign/Symptoms Major Depression - correct answer ✔✔severe negative changes in mood,
thinking and behavior
sadness and apathy
slowed thinking
emotional numbness
substance abuse
social withdrawal
death and suicidal thoughts that persist regardless of circumstances
global thinking is distorted/ circular
loss of energy
anxious distress
difficult thoughts about future
melancholy
can have psychotic features with catatonic states.
Pharmacologic management of Major depression - correct answer ✔✔simultaneous use of
psycho therapy and medications.
SSRI's, SNRI, NRI, TCA's and DA's
, Non pharmacologic management of Major depression - correct answer ✔✔CBT, home and
reassurance, Massage, relaxation therapy, exercise, good nutrition, self care.
establish a routine, focus on behaviors or activities rather than feelings.
PHSQ-9 scores - correct answer ✔✔0-4 : None
5-9: Mild
10-14: Moderate
15-19: Moderately Severe
20-27: Severe
General Anxiety Disorder - correct answer ✔✔excessive worry over 6 month period of time
about multiple concerns that are difficult to control
General Anxiety Disorder Prevelance: - correct answer ✔✔50-90% have co-morbid depression
Women > Men
5-6% of general population have GAD.
General Anxiety signs and symptoms - correct answer ✔✔occurs more days than not associated
with 3 or more symptoms: easy fatigue, difficulty concentrating, muscle tension, sleep
disturbance, feelings of restlessness or hyperness. Hyperarousal and insomnia.
More disruptive than normal anxiety.
motor symptoms: shakiness, restlessness, headache, autonomic hyperactivity: sweating,
palpitations, GI distress, tachycardia, HA, SOB, cognitive villegence (irritability and quick to
startle).
must cause significant impairment or distress.
Differential diagnosis for GAD - correct answer ✔✔caffeine intoxication
stimulant/ etoh abuse
complete solutions to pass
Mild/Moderate depression Prevalence - correct answer ✔✔5-12% will experience at some point
can be as high as 40$
Depression Risk Factors - correct answer ✔✔pre-existing mood disorder
Signs/Symptoms Depression - correct answer ✔✔negative emotional experiences, sadness,
disinterest (anhedonia), self-hate, unexplaind fatigue, anger, anxiety, irritability, hyperactivity,
altered sleep, appetite or sexual behaviour. Motor slowness, stooped posture, minor cognitive
impairment
Differential Dx for Depression - correct answer ✔✔parkinsons, thyroid disorders, dementia,
epilepsy, CVA and tumors
Work up for Depression - correct answer ✔✔ask 2 questions: Have you felt down or hopeless in
the past month?
Little interest in doing things for the last month?
PHQ-9 checklist of 9 symptoms over 2 week time.
Full physical assessment, medical history, neuro exam, UA, routine blood work including
THYROID and ADRENAL function.
any family HX of depression
Medications that can cause Depression - correct answer ✔✔BP meds, sedatives, hyponotics,
anti seizure, antipsychotics, anti parkinsons, steroids, analgesics, antibacterials, antineoplastics.
,Pharm management for depression - correct answer ✔✔
Non-pharm management for Depression - correct answer ✔✔
Major Depression Risk Factors - correct answer ✔✔female, strong family history or suicide
attempt, etoh abuse, hx of migraines, back pain, recent MI, peptic ulcer dx, current chronic
disease, insomnia, stress, poverty, < high school education, recent trauma, parent or caregiver
with behavior disorder, hypersecretion of cortisol and coexisting thyroid disorder.
Sign/Symptoms Major Depression - correct answer ✔✔severe negative changes in mood,
thinking and behavior
sadness and apathy
slowed thinking
emotional numbness
substance abuse
social withdrawal
death and suicidal thoughts that persist regardless of circumstances
global thinking is distorted/ circular
loss of energy
anxious distress
difficult thoughts about future
melancholy
can have psychotic features with catatonic states.
Pharmacologic management of Major depression - correct answer ✔✔simultaneous use of
psycho therapy and medications.
SSRI's, SNRI, NRI, TCA's and DA's
, Non pharmacologic management of Major depression - correct answer ✔✔CBT, home and
reassurance, Massage, relaxation therapy, exercise, good nutrition, self care.
establish a routine, focus on behaviors or activities rather than feelings.
PHSQ-9 scores - correct answer ✔✔0-4 : None
5-9: Mild
10-14: Moderate
15-19: Moderately Severe
20-27: Severe
General Anxiety Disorder - correct answer ✔✔excessive worry over 6 month period of time
about multiple concerns that are difficult to control
General Anxiety Disorder Prevelance: - correct answer ✔✔50-90% have co-morbid depression
Women > Men
5-6% of general population have GAD.
General Anxiety signs and symptoms - correct answer ✔✔occurs more days than not associated
with 3 or more symptoms: easy fatigue, difficulty concentrating, muscle tension, sleep
disturbance, feelings of restlessness or hyperness. Hyperarousal and insomnia.
More disruptive than normal anxiety.
motor symptoms: shakiness, restlessness, headache, autonomic hyperactivity: sweating,
palpitations, GI distress, tachycardia, HA, SOB, cognitive villegence (irritability and quick to
startle).
must cause significant impairment or distress.
Differential diagnosis for GAD - correct answer ✔✔caffeine intoxication
stimulant/ etoh abuse
