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NR607 Week 3 – Chamberlain University – Academic Year 2025/2026 – 40+ Psychiatric Case Questions & Answers on Schizophrenia, Depression, TRD, and Antipsychotic Management

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This resource for NR607 Week 3 at Chamberlain University offers over 40 exam-style questions and answers focused on psychiatric mental health conditions. Key content areas include schizophrenia (diagnosis, pharmacologic strategies, symptom types, and treatment adherence), major depressive disorder (MDD), treatment-resistant depression (TRD), and management with SSRIs, SNRIs, antipsychotics, ECT, and LAIs. Designed for Psychiatric Nurse Practitioner and mental health students, this document supports mastery of clinical concepts, diagnostic coding, and medication strategies with real-life clinical case studies. Keywords: schizophrenia case scenarios psychosis symptoms major depressive disorder treatment-resistant depression antipsychotic side effects tardive dyskinesia akathisia and dystonia long-acting injectables olanzapine and clozapine STAR*D protocol ECT and TMS therapy DSM-5 coding ICD-10 mental health codes depression with comorbid dementia psychopharmacologic decision making PANSS and AIMS scales

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NR607 Week 3 2025/2026 Exam
Questions and Corresponding Answers
with Surety of 100% Pass Mark



Depression - 🧠 ANSWER ✔✔-mood disorder characterized by depressive

symptoms that last longer than two weeks.

-influenced by genetic and environmental factors

-Signs and symptoms of depression include:

• sad or irritable mood

• feelings of hopelessness, worthlessness, or emptiness

• diminished interest in activities

• significant weight or appetite changes

• fatigue, sleep disturbances including difficulty sleeping (insomnia) or sleeping

too much

• cognitive changes such as difficulty concentrating, remembering infor, or making

decisions


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,Imbalance of what neurotransmitters can result in depression? - 🧠 ANSWER

✔✔lower levels of:


dopamine

serotonin

norepinephrine




-Depressed patients often have decreased neurotransmitter activity in the prefrontal

cortex (PFC) region of the brain

• controls attention, mood, and personality


Major Depressive Disorder (MDD) - 🧠 ANSWER ✔✔-primary feature of MDD is

the occurrence of at least one episode of major depression lasting at least two

weeks

-must experience 5+ of the following in 2 weeks to be dx'd with a major depressive

episode

• feeling low most of the day for most days

• decreased interest in activities

• substantial weight loss, significant change in appetite

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,• fidgeting, random movement (pacing)

• decreased energy

• sense of guilt or worthlessness

• lack of focus or ability to make decisions

• repeated thoughts of death and suicide


Antidepressants - 🧠 ANSWER ✔✔SSRIs


-inhibit 5-HT reuptake




SNRIs

-inhibit 5-HT reuptake

-inhibit NE reuptake (↑ energy, focus)

-increase DA in prefrontal cortex (↑ cognition)




NDRIs

-inhibit DA reuptake (↑alertness, motivation)

-inhibit NE reuptake (↑energy)


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, Psychotic symptoms: Positive Symptoms - 🧠 ANSWER ✔✔-Hallucinations


-Delusions

-Thought disorder

-Hostility

-Excitability


Psychotic symptoms: Motor Symptoms - 🧠 ANSWER ✔✔-Motor delay


-Dyscoordination

-EPS

• Parkinsonism

• Dyskinesia


Psychotic symptoms: Affective Symptoms - 🧠 ANSWER ✔✔-Depression


-Anxiety

-Suicidality


Psychotic symptoms: Cognition - 🧠 ANSWER ✔✔-Attention


-Working memory

-Verbal memory

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